CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Orange Park Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $4,327
  • Cash Discount Price: $16,968
  • vs. Medicare Baseline: 40.51x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Orange Park Hospital is $4,327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,968. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 40.51x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$16,968

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,327

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: $16,968 (15886%)
Insurance Median: $4,327 (4051%)
Cash: $16,968 (15886% of Medicare)
Ins. Median: $4,327 (4051% 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 4051% of the Medicare baseline (a markup of 3951%). 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
United $245 - $7,636 229%
Aetna $716 - $5,090 670%
Avmed $825 - $1,863 772%
Optimum Healthcare $1,425 1334%
Corvel Corporation $2,107 1973%
Prime Health $2,151 2014%
Simply Healthcare $2,613 2446%
Positive Healthcare $3,733 3495%
Sunshine State Health Plan $4,327 4051%
Molina Healthcare $4,581 4289%
Medicare (plans) $7,636 7149%
Plotkin Health $8,484 7943%
Multiplan $13,235 - $14,423 12391%
Evernorth $13,575 12709%
Evolutions Healthcare $13,575 - $14,423 12709%
Ppo Next $14,423 13503%
Novanet $15,271 14297%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals