CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Lutheran Hospital of Indiana

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $615
  • Cash Discount Price: $876
  • vs. Medicare Baseline: 5.76x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Lutheran Hospital of Indiana is $615. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $876. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.76x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$876

Average discount available for prompt cash payment at this facility.

Insurance Median
$615

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: $876 (820%)
Insurance Median: $615 (576%)
Cash: $876 (820% of Medicare)
Ins. Median: $615 (576% 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 576% of the Medicare baseline (a markup of 476%). 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
UnitedHealthcare $98 - $1,529 92%
Veterans Eval Services $98 92%
Tricare $105 98%
Aetna $109 - $2,141 102%
Blue Cross Blue Shield $109 - $1,669 102%
Humana $109 - $381 102%
Iu Health Plan $109 102%
Managed Health Services $109 - $381 102%
Medicare (plans) $109 102%
Department Of Veterans Affairs $111 104%
Node Devoted Health Mcr Adv $111 104%
Node Hospice Non Par Agree $111 104%
Node Va $111 104%
In Dept Of Correction $115 108%
Node Pphp Mcr Adv $116 109%
Us Department Of Labor $138 129%
Lutheran Advanced Network $166 155%
Node Lutheran Network $166 - $194 155%
Node Lutheran Preferred Fixed 2 $166 155%
Align Network $177 166%
Encore Work Comp In $199 186%
Prime Health Services $199 - $3,374 186%
Lutheran Network $221 - $2,249 207%
Node Encore Kba Epo $265 248%
One Call Care Diagnostics $275 257%
Ky Work Comp $282 - $1,133 264%
Spreemo $300 281%
Node Encore Kba Ppo $332 311%
Amish Aid $336 - $1,349 315%
Lutheran Preferred Network $336 - $2,699 315%
Self Pay $336 - $1,619 315%
Cigna $361 - $1,633 338%
Care Source $381 357%
Medicaid / KanCare $381 357%
Php Freedom Network $409 383%
Physicians Health Plan Of Northern Indiana $442 - $1,776 414%
Lutheran Preferred $448 - $1,799 419%
Sagamore $510 - $2,568 477%
Encore Ppo $816 764%
Multiplan $817 - $3,733 765%
Encore Health Network $918 - $4,048 859%
Advantage Health Solutions $929 - $3,733 870%
Allied Benefit Systems $1,007 - $4,048 943%
Evolutions $1,007 - $4,048 943%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals