CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Rush Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,005
Cash Discount Price: $3,212
vs. Medicare Baseline: 18.77x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Rush Memorial Hospital is $2,005. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,212. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.77x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$3,212

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,005

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: $3,212 (3007%)

Insurance Median: $2,005 (1877%)

Cash: $3,212 (3007% of Medicare)

Ins. Median: $2,005 (1877% 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 1877% of the Medicare baseline (a markup of 1777%). 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
UnitedHealthcare	$41 - $5,175	38%
Humana	$47 - $5,951	44%
Aetna	$48 - $5,951	45%
Caresource Mcr Adv	$48 - $2,005	45%
Blue Cross Blue Shield	$49 - $3,346	46%
Today'S Option Mcr Adv-All Plans	$49 - $2,065	46%
Viant Beech St Mcr Adv	$49 - $2,065	46%
My True Advantage - All Plans	$50 - $2,005	47%
Consumers Life Ins-All Plans	$52 - $5,821	49%
Caresource Marketplace-All Other Plans	$64 - $3,208	60%
Multiplan-All Plans	$66 - $6,015	62%
Encore Health Services-All Plans	$83 - $6,339	78%
Siho-All Plans	$83 - $5,951	78%
Phcs-All Plans	$102 - $5,175	95%
Cigna	$172 - $1,969	161%
Health Net	$172 - $1,905	161%
Coventry/First Health-All Plans	$241 - $5,821	226%
Sagamore-All Plans	$3,940 - $5,951	3689%
Community Health Alliance-All Plans	$4,026 - $6,080	3769%

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 $3,212.
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 Rush 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.