CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Cleveland Clinic Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $157
Cash Discount Price: $552
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Cleveland Clinic Hospital is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $552. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.47x the Medicare baseline. Located in 3100 Weston Rd, Weston, FL.

Cash / Self-Pay

$552

Average discount available for prompt cash payment at this facility.

Insurance Median

$157

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: $552 (517%)

Insurance Median: $157 (147%)

Cash: $552 (517% of Medicare)

Ins. Median: $157 (147% 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
Blue Cross Blue Shield	$42 - $1,962	39%
Avmed	$50 - $231	47%
Doctors Health Plan	$50 - $180	47%
United	$50 - $252	47%
Wellcare	$50 - $132	47%
Independent Living Systems	$53 - $139	50%
Clear Spring Health	$54 - $193	51%
Cigna	$57 - $237	53%
Aetna	$62 - $1,250	58%
Humana	$107	100%
Devoted Health	$117	110%
Maritime	$232 - $657	217%
Multiplan	$232 - $722	217%
Clarity Health	$302 - $854	283%
The Legacy Companies	$302 - $854	283%
Consociate Health	$349 - $986	327%
Bmi	$467	437%

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 $552.
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 Cleveland Clinic 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.