CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Henry County Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $126
Cash Discount Price: $1,672
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Henry County Memorial Hospital is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,672. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.18x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$1,672

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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: $1,672 (1565%)

Insurance Median: $126 (118%)

Cash: $1,672 (1565% of Medicare)

Ins. Median: $126 (118% 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.

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
UnitedHealthcare	$41 - $3,539	38%
Humana	$47 - $3,826	44%
Blue Cross Blue Shield	$48 - $3,327	45%
Caresource Hip	$48 - $112	45%
Caresource Mcr Adv	$48 - $114	45%
Aetna	$52 - $3,696	49%
Caresource Marketplace-All Other Plans	$64 - $213	60%
Caresource Just4Me	$71 - $280	66%
Encore Workers Comp-All Plans	$83 - $4,131	78%
Caresource Mcaid	$101 - $126	95%
Cigna	$215 - $2,957	201%
Health Alliance-All Plans	$365 - $3,696	342%
Workers Comp - All Plans	$387 - $3,913	362%

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 $1,672.
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 Henry County Memorial 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.