CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: UW Health

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $107
  • Cash Discount Price: $503
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at UW Health is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $503. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.
Cash / Self-Pay
$503

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $503 (471%)
Insurance Median: $107 (100%)
Cash: $503 (471% of Medicare)
Ins. Median: $107 (100% 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.

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 $53 - $1,458 50%
Blue Cross Blue Shield $53 - $898 50%
Humana $53 - $107 50%
Medicare (plans) $53 - $117 50%
Mychoice Wi Medical Adv $53 - $107 50%
UnitedHealthcare $53 - $1,553 50%
Quartz Fully Insured $701 656%
Ecoh $1,025 - $1,590 960%
Hfn $1,025 - $1,590 960%
Alliance Premier Network $1,103 1033%
Quartz Aso $1,103 1033%
The Alliance $1,419 1329%
Wps Ppo $1,562 1462%
Cigna $1,612 1509%
Beloit Healt System $1,823 1707%
Mercycare $1,886 1766%
First Health/Coventry $1,986 1859%
Health Payment Systems $2,357 2207%
Healthsmart $2,357 2207%
Sheboygan Employers Health Network $2,514 2354%
Multiplan $2,810 2631%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East State Street, Rockford, IL 61104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals