CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Berkshire Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $978
Cash Discount Price: $1,560
vs. Medicare Baseline: 9.16x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Berkshire Medical Center is $978. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,560. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.16x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$1,560

Average discount available for prompt cash payment at this facility.

Insurance Median

$978

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: $1,560 (1461%)

Insurance Median: $978 (916%)

Cash: $1,560 (1461% of Medicare)

Ins. Median: $978 (916% 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 916% of the Medicare baseline (a markup of 816%). 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
Fallon	$88 - $723	82%
Cdphp	$90 - $1,478	84%
Health New England	$90 - $1,145	84%
Mbhp	$90	84%
Mcd Out Of State	$90 - $108	84%
Medicaid / KanCare	$90 - $108	84%
Bmchnp	$117 - $124	110%
Comm Tufts Qhpsub (Network)	$118 - $928	110%
Point32Health	$118 - $1,560	110%
Other Government	$127 - $138	119%
Medicare (plans)	$132 - $136	124%
Hospice	$134 - $138	125%
UnitedHealthcare	$134 - $1,412	125%
Blue Cross Blue Shield	$139 - $1,396	130%
Commcare Alliance	$142 - $158	133%
Aetna	$163 - $1,240	153%
Comm Hne Hmo	$261 - $1,082	244%
Comm Hne Ppo	$278 - $1,150	260%
Workers Comp	$285 - $996	267%
Unicare	$393 - $1,065	368%
Allways Nhp	$921 - $1,062	862%
Beacon	$1,210 - $1,478	1133%
Cigna	$1,281 - $1,527	1199%
Mvp	$1,281 - $1,478	1199%
Oxford	$1,281 - $1,478	1199%
First Health	$1,324 - $1,560	1240%
Connecticare	$1,353 - $1,560	1267%
Consolidated Health Plans	$1,353 - $1,560	1267%
Other Commercial	$1,353 - $1,560	1267%
Phcs	$1,353 - $1,560	1267%
Self Pay	$1,353 - $1,560	1267%

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 $1,560.
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 Berkshire 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.