CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Deaconess Hospital Inc

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $108
  • Cash Discount Price: $587
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Deaconess Hospital Inc is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $587. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.01x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$587

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $587 (550%)
Insurance Median: $108 (101%)
Cash: $587 (550% of Medicare)
Ins. Median: $108 (101% 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.

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
Mhnet $38 - $62 36%
Aetna $45 - $525 42%
Blue Cross Blue Shield $45 - $243 42%
Medicaid / KanCare $45 - $445 42%
Meridiancomplete (Il) $45 - $108 42%
Meridianhealth (Il) $45 42%
Youthcare (Meridian Il) $45 42%
Youthcare (Wellcare Il) $45 42%
Ambetter / Centene $47 - $162 44%
Humana $47 - $445 44%
Medicare (plans) $47 - $108 44%
Meridiancare (Il) $47 - $108 44%
Molina (Il) Mmai $47 - $108 44%
Molina Il $47 - $108 44%
Mytru Advantage $47 - $108 44%
Patoka Valley Health Care (80/20 Plan) $47 - $217 44%
Patoka Valley Health Care (90/10 Plan) $47 - $203 44%
Triwest Vapc3 $47 - $103 44%
UnitedHealthcare $47 - $455 44%
Wellcare (Il) Mmai $47 - $108 44%
Caresource In $48 - $77 45%
Center Care Narrow Select $48 - $1,050 45%
Center Care Open Access $48 - $1,139 45%
United Behavioral Health $57 - $92 53%
Caresource In Marketplace $62 - $162 58%
Deaconess Onecare $62 - $216 58%
Iu Health Network $62 - $781 58%
Alliance Coal $65 - $211 61%
Allied National $66 - $1,067 62%
Claimdoc $66 - $1,067 62%
Healthscope $66 - $1,062 62%
Hopetrust $71 - $259 66%
Hstechnology $71 - $259 66%
Encircle/Encore Combined $75 - $507 70%
Encircle/Encore Elite+ $75 - $238 70%
Encircle/Encore Prime $75 - $507 70%
Noncontracted $76 - $173 71%
Naphcare $78 - $178 73%
Ky Racing Health & Welfare Fund $90 - $587 84%
Self-Pay $90 - $587 84%
Chamber Care $154 - $390 144%
Cigna $167 - $1,245 156%
Claritev (Formerly Phcs Multiplan) $167 - $787 156%
First Health $167 - $1,316 156%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $167 - $818 156%
Parkview Signature Care $175 - $1,210 164%
Healthlink $193 - $1,512 181%
National Rural Electric $226 - $1,566 212%
Immergrun $744 697%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals