CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Marion Communtiy Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,009
Cash Discount Price: $4,823
vs. Medicare Baseline: 18.81x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Marion Communtiy Hospital is $2,009. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,823. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.81x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.

Cash / Self-Pay

$4,823

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,009

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: $4,823 (4515%)

Insurance Median: $2,009 (1881%)

Cash: $4,823 (4515% of Medicare)

Ins. Median: $2,009 (1881% 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 1881% of the Medicare baseline (a markup of 1781%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
United	$245 - $2,254	229%
Simply	$714 - $771	668%
Avmed	$856 - $1,863	801%
Molina Healthcare	$881 - $1,603	825%
Aetna	$968 - $1,502	906%
Sunshine State Health Plan	$1,182 - $1,277	1107%
Corvel Corporation	$2,009	1881%
Prime Health	$2,052	1921%
Careworks (Rockport Community)	$2,115	1980%
Marion County Schools	$2,115	1980%
Plotkin Health	$2,319 - $2,504	2171%
Prime Health Sheriff	$2,319 - $2,504	2171%
Multiplan	$3,617 - $3,906	3386%
Ppo Next	$3,942 - $4,257	3691%
Novanet	$4,173 - $4,507	3907%

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 $4,823.
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 Marion Communtiy 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.