CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Woodlawn Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $494
  • Cash Discount Price: $1,651
  • vs. Medicare Baseline: 4.63x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Woodlawn Hospital is $494. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,651. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.63x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.
Cash / Self-Pay
$1,651

Average discount available for prompt cash payment at this facility.

Insurance Median
$494

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: $1,651 (1546%)
Insurance Median: $494 (463%)
Cash: $1,651 (1546% of Medicare)
Ins. Median: $494 (463% 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 463% of the Medicare baseline (a markup of 363%). 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
Blue Cross Blue Shield $98 - $1,673 92%
Caresource Mcaid Hww $98 92%
Mdwise Excel Hhw & Hcc $98 92%
Mhs Mcaid Hcc $98 92%
Mhs Mcaid Hhw $98 92%
UnitedHealthcare $98 - $1,673 92%
Aetna $484 - $2,091 453%
Caresource Mcaid Hip $484 453%
Caresource Mcr Adv $484 453%
Humana $484 - $1,708 453%
Mdwise Mcaid Excel Hip $484 453%
Mhs Exch Mrktplce-All Other Plans $484 453%
Mhs Mcaid Hip $484 453%
Mhs Mcr Adv $494 463%
Caresource Exch - All Other Plans $629 589%
Ambetter / Centene $644 603%
Partners Direct Health-All Plans $1,497 1402%
Cigna $1,576 - $1,871 1476%
Parkview Health Plans-All Plans $1,651 1546%
Sagamore All Other Grps - All Other Plans $1,849 1731%
Encore Comm-All Plans $1,871 1752%
Phcs/Multiplan-All Plans $2,047 1916%
Community Health Alliance-All Plans $2,091 1958%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 E 9Th St, Rochester, IN 46975
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals