CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Sarasota Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $122
Cash Discount Price: $1,437
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Sarasota Memorial Hospital is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,437. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.14x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$1,437

Average discount available for prompt cash payment at this facility.

Insurance Median

$122

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: $1,437 (1345%)

Insurance Median: $122 (114%)

Cash: $1,437 (1345% of Medicare)

Ins. Median: $122 (114% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Simply Healthcare Oncology	$41 - $68	38%
Sunshine State Oncology	$41 - $68	38%
Molina Oncology	$42 - $70	39%
Amerihealth Caritas Oncology	$43 - $71	40%
Community Care Plan Oncology	$43 - $71	40%
Blue Cross Blue Shield	$48 - $133	45%
Florida Community Care Oncology	$51 - $101	48%
UnitedHealthcare	$52 - $3,084	49%
Wellcare Oncology	$54 - $85	51%
Simply Freedom Optimum Oncology	$55 - $89	51%
Aetna	$63 - $3,285	59%
Simply Healthcare	$67 - $71	63%
Sunshine State	$71	66%
Molina	$73	68%
Amerihealth Caritas	$74	69%
Community Care Plan	$74	69%
Florida Community Care	$74 - $117	69%
Oscar Oncology	$86 - $137	81%
Simply Freedom Optimum	$112	105%
Wellcare	$112	105%
Ambetter / Centene	$135 - $288	126%
Avmed	$458 - $2,997	429%
Usa Managed Care	$502 - $3,285	470%
First Health	$521 - $3,408	488%
Careworks	$1,455 - $2,332	1362%
Enlyte	$1,455 - $2,332	1362%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,437.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sarasota Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.