CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Copper Queen Community Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $546
  • Cash Discount Price: $1,560
  • vs. Medicare Baseline: 5.11x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Copper Queen Community Hospital is $546. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,560. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.11x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.
Cash / Self-Pay
$1,560

Average discount available for prompt cash payment at this facility.

Insurance Median
$546

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,560 (1461%)
Insurance Median: $546 (511%)
Cash: $1,560 (1461% of Medicare)
Ins. Median: $546 (511% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 511% of the Medicare baseline (a markup of 411%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Allwell $312 292%
Amerigroup $312 292%
Azch Complete $312 292%
Banner Uc Health $312 292%
Humana $312 292%
Triwest $312 292%
UnitedHealthcare $351 - $1,137 329%
Copperpoint $483 452%
Bisbee Police $507 475%
Aetna $546 - $1,755 511%
Health Net Of Az $546 - $1,170 511%
Apipa $728 682%
Cigna $1,268 1187%
Blue Cross Blue Shield $1,326 1241%
Self Pay $1,560 1461%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Cole Avenue, Bisbee, AZ 85603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals