CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Doctors Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $263
  • Cash Discount Price: $7,110
  • vs. Medicare Baseline: 2.46x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Doctors Hospital is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,110. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.46x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$7,110

Average discount available for prompt cash payment at this facility.

Insurance Median
$263

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: $7,110 (6657%)
Insurance Median: $263 (246%)
Cash: $7,110 (6657% of Medicare)
Ins. Median: $263 (246% 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 246% of the Medicare baseline (a markup of 146%). 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
Blue Cross Blue Shield $72 - $263 67%
Ambetter / Centene $142 133%
Health One Alliance $154 144%
Aetna $204 - $3,920 191%
United $245 - $3,199 229%
Prime Health $267 250%
Rockport United Network $273 256%
Identity Mco $279 261%
Blue Choice $383 359%
Amerigroup $1,010 946%
Absolute Total Care $1,280 1198%
Nhc Advantage $1,351 1265%
Pruitt Health $1,351 1265%
Peach State $1,422 1331%
Wellcare $1,422 1331%
Americas 1St Choice $1,991 1864%
Medcost $3,562 - $4,543 3335%
Multiplan $4,266 - $6,399 3994%
Performax $4,835 4527%
First Health $5,332 4992%
Employer'S Health Network $5,688 5325%
Novanet $6,399 5991%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals