CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Memorial Hospital and Health Care Center

Billing Code: 71250 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$123
about 1.1× the $107 Medicare rate · typically $106–$123
modeled estimate · not a bill or quote
What this hospital charges insurers
$123
About the fair price
1.1× Medicare
Medicare pays $107 Fair price $123 This hospital $123 Cash price $90 Hospital's list price $257

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $55 Priciest $123

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, chest (no contrast) is about $123 (about 1.1× the $107 Medicare rate). Memorial Hospital and Health Care Center charges insurers about $123, or about $90 in cash — about the fair price. Located in Jasper, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $57 - $368 53%
Blue Cross Blue Shieldmajor $37 - $243 35%
Aetnamajor $47 - $438 44%
Cignamajor $167 - $438 156%
Humanamajor $47 - $123 44%
Ambetter (Centene) $62 - $159 58%
CareSource $47 - $153 44%
+ 11 smaller / regional plans $48 - $438
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 800 W 9Th St, Jasper, IN 47546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals