CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $162
Cash Discount Price: $1,460
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Atrium Health Navicent the Medical Center is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,460. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.52x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.

Cash / Self-Pay

$1,460

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $1,460 (1367%)

Insurance Median: $162 (152%)

Cash: $1,460 (1367% of Medicare)

Ins. Median: $162 (152% 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
Aetna	$48 - $2,014	45%
Blue Cross Blue Shield	$48 - $177	45%
Georgia Health Advantage	$48 - $120	45%
Humana	$48 - $2,005	45%
UnitedHealthcare	$48 - $1,422	45%
Care Source	$49 - $123	46%
Clover	$49 - $123	46%
Eon Health	$49 - $123	46%
Pruitt Health	$50 - $126	47%
Alliant	$57 - $144	53%
Ambetter / Centene	$65 - $1,489	61%
Securehealth	$140 - $1,022	131%
Cigna	$175 - $524	164%
Kaiser	$234 - $1,897	219%
Multiplan	$1,897 - $2,335	1776%
Ibg	$2,064	1932%
Novanet	$2,335	2186%
Three Rivers Provider Network	$2,481	2323%
Beechstreet	$2,715	2542%

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 $1,460.
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 Atrium Health Navicent the Medical Center 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.