CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: St Lucie Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,879
  • Cash Discount Price: $10,102
  • vs. Medicare Baseline: 26.95x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at St Lucie Medical Center is $2,879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,102. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.95x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$10,102

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,879

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: $10,102 (9458%)
Insurance Median: $2,879 (2695%)
Cash: $10,102 (9458% of Medicare)
Ins. Median: $2,879 (2695% 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 2695% of the Medicare baseline (a markup of 2595%). 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 - $4,546 229%
Freedom Health $869 814%
Optimum $869 814%
Avmed $890 - $5,051 833%
Aetna $1,087 - $3,031 1018%
Simply Healthcare Plans $1,313 1229%
Molina $1,919 - $2,728 1797%
Health Sun Health Plan $2,152 2015%
Corvel Corporation $2,195 2055%
Careworks (Rockport) $2,241 2098%
Prime Health $2,241 2098%
Sunshine State Health Plan $2,576 2412%
United Ppo $4,445 4162%
Plotkin Health $5,051 4729%
Prime Health Sherriff $5,051 4729%
Multiplan $7,576 - $8,587 7093%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals