CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Memorial Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,666
Cash Discount Price: $4,443
vs. Medicare Baseline: 24.96x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Memorial Medical Center is $2,666. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,443. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.96x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$4,443

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,666

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: $4,443 (4160%)

Insurance Median: $2,666 (2496%)

Cash: $4,443 (4160% of Medicare)

Ins. Median: $2,666 (2496% 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 2496% of the Medicare baseline (a markup of 2396%). 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
Veterans Administration	$79	74%
Blue Cross Blue Shield	$103 - $4,443	96%
Aetna	$110 - $3,377	103%
Health Alliance	$110 - $2,888	103%
Medicare (plans)	$110 - $4,443	103%
Tricare	$110	103%
UnitedHealthcare	$110 - $2,755	103%
Humana	$116 - $2,666	109%
Medicaid / KanCare	$134	125%
Molina	$137	128%
Healthlink	$521 - $2,799	488%
Cigna	$1,041	975%
Commercial Workers Compensation	$1,219	1141%
Illinois Workers Compensation	$1,283	1201%
Current Health Network Ppo	$1,999	1872%
Phcs/Multiplan	$2,399 - $2,666	2246%
6 Degrees Health	$2,666	2496%
Hopetrust	$2,666	2496%
Hst	$2,666	2496%
Magellan	$2,666	2496%
Consociate	$2,888	2704%
Hfn	$2,888	2704%
Preferred Plan	$3,332	3120%
Soi Mcfarland	$3,332	3120%
Soi Rushville	$3,332	3120%
Corvel	$3,554	3327%
Methodist First Choice	$3,554	3327%
Mutual Medical Plans	$3,777	3536%
Liability	$4,443	4160%

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 $4,443.
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 Memorial 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.