CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: North Shore Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $146
  • Cash Discount Price: $6,307
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at North Shore Medical Center is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,307. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.37x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$6,307

Average discount available for prompt cash payment at this facility.

Insurance Median
$146

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: $6,307 (5905%)
Insurance Median: $146 (137%)
Cash: $6,307 (5905% of Medicare)
Ins. Median: $146 (137% 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.

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
Humana $59 - $206 55%
Medicaid / KanCare $68 - $6,307 64%
UnitedHealthcare $69 - $103 65%
Veterans Administration Mill Bill $72 67%
Medicare (plans) $93 - $6,307 87%
Aetna $103 - $4,541 96%
Devoted Health $103 96%
Leon Health Inc $103 96%
Tricare $104 97%
Employer Direct Healthcare $105 - $171 98%
Hospice Other $105 98%
Veterans Administration Vaccn $105 98%
Cigna $108 - $3,153 101%
Healthsun Health Plans $108 - $141 101%
Avmed Broad Network $109 102%
Longevity Health Plan $110 103%
Florida Pace Centers $124 116%
Bright Health Management Commercial $126 118%
Centurion Prison $129 121%
Self Pay/Uninsured $129 - $168 121%
Imagine Health $144 135%
Dimension Health Wc $146 137%
Workers Compensation $146 137%
Avmed Exchange $183 171%
Ambetter / Centene $194 182%
Oscar Health Plan Hix $197 184%
Molina Marketplace Program Exchange $199 186%
Auto Insurance $209 196%
Avmed Select Network $214 200%
Amerihealth Caritas Next Exchange $225 211%
Bc/Bs Of Fl Health Options Hmo $327 306%
Bc/Bs Of Fl Network Blue $330 309%
Bc/Bs Myblue Hmo Hix $337 316%
Bc/Bs Of Fl Simplyblue $354 331%
Bc/Bs Of Fl Blue Select Exchange Non Par $364 341%
Bc/Bs Of Fl Ppo $387 362%
Bc/Bs Of Fl Phs $3,269 3061%
Magellan Behavioral Health $3,784 3543%
Dimensions International $4,099 3838%
First Health $4,288 4015%
Dimension Health Ppo $4,730 4428%
Beacon Health Strategies Commercial $6,307 5905%
Commercial Non-Contracted $6,307 5905%
Self Pay - Mcd Pending 100 Percent $6,307 5905%
Single Case Agreement $6,307 5905%
United Behavioral Health Psych $6,307 5905%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals