CMS Price Transparency Data
CT scan, chest (no contrast)
Facility: St Marys Good Samaritan Hospital
Billing Code: 71250 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$370
about 3.5× the $107 Medicare rate · typically $120–$973
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $370 Cash price $1,225 Hospital's list price $1,885
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $509 - $2,632 | 477% |
| Blue Cross Blue Shieldmajor | $364 - $1,362 | 341% |
| Aetnamajor | $509 - $1,508 | 477% |
| Cignamajor | $509 - $1,546 | 477% |
| Humanamajor | $509 - $1,414 | 477% |
| Kaiser Permanentemajor | $509 | 477% |
| Ambetter (Centene) | $509 | 477% |
| Amerigroup | $1,885 | 1765% |
| CareSource | $509 | 477% |
| Molina | $509 | 477% |
| WellCare | $261 - $509 | 244% |
| + 5 smaller / regional plans | $509 - $1,696 |
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at St Marys Good Samaritan Hospital
Compare: CT scan, chest (no contrast) at other GA hospitals
- Liberty Regional Medical Center · Hinesville $55
- Emanuel Medical Center · Swainsboro $70
- Southeast Georgia Health System -- Camden Campus · Saint Marys $81
- Southeast Georgia Health System- Brunswick Campus · Brunswick $86
- Sgmc Health Lanier · Lakeland $93
- Northeast Georgia Medical Center Habersham · Demorest $96
- Emory Houston Hospital Warner Robins · Warner Robins $98
- Sgmc Health · Valdosta $100
Insurance negotiated median for the same procedure, sorted lowest first.