CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: King's Daughters' Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,450
  • Cash Discount Price: $1,031
  • vs. Medicare Baseline: 13.58x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at King's Daughters' Medical Center is $1,450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,031. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.58x the Medicare baseline. Located in 2201 Lexington Avenue, Ashland, KY.
Cash / Self-Pay
$1,031

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,450

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: $1,031 (965%)
Insurance Median: $1,450 (1358%)
Cash: $1,031 (965% of Medicare)
Ins. Median: $1,450 (1358% 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 1358% of the Medicare baseline (a markup of 1258%). 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
Healthsmart $74 69%
Molina $108 101%
Buckeye Community Health Plan $123 115%
Caresource $182 170%
Blue Cross Blue Shield $580 - $1,450 543%
UnitedHealthcare $1,600 1498%
Aetna $1,905 1784%
The Health Plan $2,062 1931%
Multiplan $2,320 2172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2201 Lexington Avenue, Ashland, KY 41101
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals