CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: North Oaks Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $199
Cash Discount Price: $249
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at North Oaks Medical Center is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.86x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.

Cash / Self-Pay

$249

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $249 (233%)

Insurance Median: $199 (186%)

Cash: $249 (233% of Medicare)

Ins. Median: $199 (186% 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.

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
Tricare	$91 - $97	85%
Aetna	$97 - $2,354	91%
Allwell	$97	91%
Blue Advantage	$97	91%
Champva	$97	91%
Healthy Blue Dual Advantage	$97	91%
Humana	$97 - $2,078	91%
Peoples Health	$97	91%
UnitedHealthcare	$97 - $1,330	91%
Vantage 65	$97	91%
Veterans Administration	$97	91%
Wellcare	$97	91%
Mco Lhc	$195	183%
Mco Hb	$199	186%
Mco Lacare Am	$199	186%
Medicaid / KanCare	$199	186%
Blue Cross Blue Shield	$246 - $249	230%
Coventry	$1,800	1685%
Verity Healthnet	$1,800	1685%
Ppoplus Llc	$1,939	1815%
Multiplan	$2,078	1946%
Cigna	$2,188	2048%

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 $249.
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 North Oaks Medical Center 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.