CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Our Lady of the Lake Surgical Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $123
Cash Discount Price: $117
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Our Lady of the Lake Surgical Hospital is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.15x the Medicare baseline. Located in 1700 W Lindberg Drive, Slidell, LA.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $117 (110%)

Insurance Median: $123 (115%)

Cash: $117 (110% of Medicare)

Ins. Median: $123 (115% 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
Triwest	$92	86%
Blue Cross Blue Shield	$93 - $115	87%
Aetna	$97 - $195	91%
Healthy Blue	$97	91%
Humana	$97 - $147	91%
Lhc (Allwell)	$97	91%
Peoples Health	$97 - $836	91%
UnitedHealthcare	$97 - $141	91%
Vantage Health Plan Inc.	$97 - $165	91%
Wellcare Health Plan Inc	$97	91%
Amerihealth Caritas	$141	132%
Louisiana Healthcare Connection	$141	132%
Gilsbar 360	$224	210%
Hs Technology	$253	237%
First Health	$632	592%
Womans Hospital Employees	$650	609%
Cigna	$750	702%
Medical Cost Containment Professionals	$836	783%
Usa Managed Care Organization	$873	817%
Three Rivers Provider Network	$883	827%

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 $117.
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 Our Lady of the Lake Surgical 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.