CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Rochelle Community Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,932
Cash Discount Price: $2,493
vs. Medicare Baseline: 18.09x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Rochelle Community Hospital is $1,932. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,493. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.09x the Medicare baseline. Located in 900 N 2Nd St, Rochelle, IL.

Cash / Self-Pay

$2,493

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,932

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: $2,493 (2334%)

Insurance Median: $1,932 (1809%)

Cash: $2,493 (2334% of Medicare)

Ins. Median: $1,932 (1809% 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 1809% of the Medicare baseline (a markup of 1709%). 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
Aetna	$184 - $1,246	172%
Blue Cross Blue Shield	$184 - $2,493	172%
Medicaid / KanCare	$184	172%
Health Alliance Mcr Adv	$873	817%
Humana	$873 - $1,994	817%
UnitedHealthcare	$873 - $2,244	817%
Va Ccn - All Plans	$873	817%
Wellcare Mcr Adv - All Plans	$890	833%
Cigna	$1,870	1751%
Osf Dan Ppo - All Plans	$1,870	1751%
Beech Street-All Plans	$1,994	1867%
First Health - All Plans	$1,994	1867%
Health Alliance-All Other Plans	$1,994	1867%
Ecoh-All Plans	$2,119	1984%
Hfn-All Plans	$2,119	1984%
The Alliance-All Plans	$2,119	1984%
Quartz Health Solutions-All Plans	$2,194	2054%
Multiplan-All Plans	$2,343	2194%

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 $2,493.
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 Rochelle Community Hospital 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.