CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Methodist Hospitals Inc

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $312
Cash Discount Price: $1,278
vs. Medicare Baseline: 2.92x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Methodist Hospitals Inc is $312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,278. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.92x the Medicare baseline. Located in 600 Grant St, Gary, IN.

Cash / Self-Pay

$1,278

Average discount available for prompt cash payment at this facility.

Insurance Median

$312

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: $1,278 (1197%)

Insurance Median: $312 (292%)

Cash: $1,278 (1197% of Medicare)

Ins. Median: $312 (292% 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 292% of the Medicare baseline (a markup of 192%). 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
Cigna	$24 - $1,496	22%
Encore	$38 - $3,193	36%
Aetna	$39 - $2,655	37%
Phcs	$43 - $2,440	40%
Siho	$44 - $2,512	41%
Sagamore	$45 - $2,583	42%
Multiplan	$46 - $2,619	43%
Hfn	$49 - $3,050	46%
Blue Cross Blue Shield	$110 - $3,373	103%
Humana	$110 - $381	103%
Medicare (plans)	$110	103%
United Heathcare	$110	103%
Zing	$112	105%
Caresource Maketplace	$182	170%
Ambetter / Centene	$220	206%
Physicians Health Plan Of Northern Indiana	$330	309%
Caresource	$381	357%
Managed Health Services	$381	357%
Medicaid / KanCare	$381	357%
UnitedHealthcare	$381 - $572	357%
Magnacare	$523	490%

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 $1,278.
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 Methodist Hospitals Inc 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.