CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Viera Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,004
Cash Discount Price: $418
vs. Medicare Baseline: 9.40x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Viera Hospital is $1,004. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $418. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.40x the Medicare baseline. Located in 8745 N Wickham Rd, Melbourne, FL.

Cash / Self-Pay

$418

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,004

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: $418 (391%)

Insurance Median: $1,004 (940%)

Cash: $418 (391% of Medicare)

Ins. Median: $1,004 (940% 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 940% of the Medicare baseline (a markup of 840%). 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
Molina Healthcare	$67 - $1,874	63%
Humana	$69 - $1,673	65%
Aetna	$71 - $1,840	66%
Amerigroup	$71 - $1,673	66%
Sunshine Health Plan	$71 - $1,757	66%
UnitedHealthcare	$71 - $2,026	66%
Health First Health Plan	$97 - $499	91%
Corizon Health	$109	102%
Florida Healthcare Plans	$529	495%
Cigna	$644 - $689	603%
Disney Cruise Line	$1,004	940%
Prime Heath Services, Inc.	$1,255	1175%
Multiplan	$1,338	1253%
Florida Blue	$2,071 - $2,172	1939%

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 $418.
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 Viera 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.