CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $774
Cash Discount Price: $2,015
vs. Medicare Baseline: 7.25x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $774. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,015. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.25x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$2,015

Average discount available for prompt cash payment at this facility.

Insurance Median

$774

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: $2,015 (1887%)

Insurance Median: $774 (725%)

Cash: $2,015 (1887% of Medicare)

Ins. Median: $774 (725% 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 725% of the Medicare baseline (a markup of 625%). 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
Simply	$34	32%
United Hc	$36 - $4,030	34%
Blue Cross Blue Shield	$50 - $3,029	47%
Aetna	$51 - $2,216	48%
Devoted	$51 - $851	48%
Humana	$51 - $2,620	48%
Careplus	$53 - $812	50%
Baycare	$54 - $812	51%
Freedom Health	$56 - $89	52%
Health First	$56 - $2,216	52%
Optimum	$56 - $89	52%
Evolutions	$60 - $3,224	56%
Cigna	$67 - $2,418	63%
Avmed	$71 - $2,418	66%
Multiplan	$81 - $3,224	76%
Molina	$790	740%
Emerging Therapies	$2,418	2264%
UnitedHealthcare	$2,418	2264%
First Health	$3,022	2829%

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 $2,015.
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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. 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.