CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,859
  • Cash Discount Price: $2,502
  • vs. Medicare Baseline: 26.77x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Ann & Robert H Lurie Childrens Hospital of Chicago is $2,859. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,502. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.77x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$2,502

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,859

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: $2,502 (2342%)
Insurance Median: $2,859 (2677%)
Cash: $2,502 (2342% of Medicare)
Ins. Median: $2,859 (2677% 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 2677% of the Medicare baseline (a markup of 2577%). 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
Medicare (plans) $608 - $2,656 569%
Magellan $900 - $2,859 843%
UnitedHealthcare $1,126 - $1,210 1054%
Mercycare Health $1,322 1238%
Cigna $1,501 - $2,538 1405%
Blue Cross Blue Shield $1,512 - $2,859 1416%
Aetna $1,787 - $2,614 1673%
Beacon Health Options $1,787 1673%
La Rabida Childrens Hospital $1,787 1673%
Centegra $2,144 2007%
Independent Physicians At Mercy $2,144 2007%
Advanced Physicians Association Ipa $2,502 2342%
Health Plus $2,502 2342%
Imagine Health $2,502 2342%
Methodist First Choice $2,502 2342%
Northwest Community Healthcare $2,502 2342%
Presence Health Partners $2,502 2342%
St. Francis $2,502 2342%
Ui Health $2,502 2342%
West Suburban Health Providers $2,502 2342%
Shriners Hospital $2,680 2509%
Swedish Covenant Physician Partners $2,680 2509%
American Psych Systems $2,859 2677%
Health Alliance $2,859 2677%
Macneal Health $2,859 2677%
Healthlink Inc. $2,949 2761%
Cofinity $3,038 2844%
Hfn Inc $3,038 - $3,217 2844%
Humana $3,038 2844%
Principal Healthcare $3,038 2844%
St. Elizabeth $3,038 2844%
First Health $3,145 2944%
Healthstar $3,145 2944%
Preferred Health Network $3,145 2944%
Sagamore Health Network $3,145 2944%
Beech Street $3,217 3012%
Benchmark Health $3,217 3012%
Employer'S Coalition On Health $3,217 3012%
Private Health Care System $3,217 3012%
Security Health Plan $3,217 3012%
Swedish American $3,217 3012%
Wellmark/Healthnetwork $3,288 3078%
Health Smart $3,395 3179%
Integrated Health Plan $3,395 3179%
Multiplan $3,395 3179%
National Provider Network $3,395 3179%
Wea Insurance Group $3,395 3179%
Unicare $3,678 - $8,500 3443%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens