CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Atrium Health Navicent Peach

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $315
  • Cash Discount Price: $750
  • vs. Medicare Baseline: 2.95x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Atrium Health Navicent Peach is $315. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $750. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.95x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.
Cash / Self-Pay
$750

Average discount available for prompt cash payment at this facility.

Insurance Median
$315

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: $750 (702%)
Insurance Median: $315 (295%)
Cash: $750 (702% of Medicare)
Ins. Median: $315 (295% 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 295% of the Medicare baseline (a markup of 195%). 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
Aetna $55 - $885 51%
Blue Cross Blue Shield $55 - $315 51%
Georgia Health Advantage $55 - $315 51%
Humana $55 - $1,275 51%
UnitedHealthcare $55 - $945 51%
Care Source $56 - $321 52%
Clover $56 - $321 52%
Eon Health $56 - $321 52%
Alliant $57 - $735 53%
Pruitt Health $58 - $315 54%
Ambetter / Centene $62 - $765 58%
Securehealth $140 - $975 131%
Cigna $175 - $1,092 164%
Multiplan $975 - $1,200 913%
Novanet $1,200 1123%
Three Rivers Provider Network $1,275 1194%
Beechstreet $1,395 1306%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1960 Highway 247 Connector, Byron, GA 31008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals