CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Fhn Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $383
  • Cash Discount Price: $1,538
  • vs. Medicare Baseline: 3.59x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Fhn Memorial Hospital is $383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,538. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.59x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.
Cash / Self-Pay
$1,538

Average discount available for prompt cash payment at this facility.

Insurance Median
$383

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: $1,538 (1440%)
Insurance Median: $383 (359%)
Cash: $1,538 (1440% of Medicare)
Ins. Median: $383 (359% 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 359% of the Medicare baseline (a markup of 259%). 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
Meridian Health Plan - All Plans $29 - $92 27%
Aetna $49 - $1,905 46%
Health Alliance Mcr Adv $49 - $112 46%
Humana $49 - $2,705 46%
Quartz Mcr Adv $49 - $112 46%
UnitedHealthcare $49 - $2,667 46%
Osf Healthplans - All Plans $87 - $3,419 81%
Ecoh Nihp $115 - $2,154 108%
Blue Cross Blue Shield $119 - $2,308 111%
Ecoh - All Other Plans $126 - $2,325 118%
Nihp Employ - All Plans $126 - $2,154 118%
The Alliance - All Plans $139 - $2,050 130%
Quartz - All Other Plans $255 - $2,223 239%
Northern Il Hp - All Plans $293 - $2,359 274%
Hfn - All Plans $361 - $2,804 338%
Galaxy - All Plans $383 - $3,077 359%
Health Alliance - All Other Plans $383 - $3,077 359%
Interplan Health - All Plans $383 - $3,077 359%
Midland Choice - All Plans $383 - $3,248 359%
Multiplan Phcs - All Plans $383 - $2,906 359%
Preferred Plan Ppo - All Plans $383 - $3,077 359%
Wps - All Plans $383 - $2,988 359%
Trustmark - All Plans $391 - $3,146 366%
First Health - All Plans $2,404 2251%
First Choice Il - All Plans $2,906 2721%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1045 West Stephenson Street, Freeport, IL 61032
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals