CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $109
  • Cash Discount Price: $1,110
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Munson Healthcare Grayling Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,110. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$1,110

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $1,110 (1039%)
Insurance Median: $109 (102%)
Cash: $1,110 (1039% of Medicare)
Ins. Median: $109 (102% 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.

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
Mclaren Health Plan $32 - $730 30%
Meridian $32 - $54 30%
Molina $32 - $125 30%
Priority Health $32 - $292 30%
UnitedHealthcare $32 - $784 30%
Blue Cross Blue Shield $33 - $234 31%
Aetna $49 - $990 46%
Atrium King Centre Skilled Nursing Services $49 - $125 46%
Blue Care Network $49 - $125 46%
Hap (Health Alliance Plan) $49 - $1,045 46%
Humana $49 - $125 46%
Medicare (plans) $49 - $125 46%
Northern Michigan Mennonite Group $49 - $125 46%
Promedica $49 - $125 46%
Wellcare (Meridian) $49 - $125 46%
Wellspring Lutheran Services Skilling Nursing Services $49 - $125 46%
Michigan Amish Medical Board $56 - $143 52%
Provider Network Of America Group Health $68 - $1,110 64%
Asr/Physicians Care $73 - $1,045 68%
Cofinity $73 - $1,019 68%
Cigna $76 - $292 71%
Nomi Health $78 - $1,045 73%
Employee Benefits Logistics $83 - $212 78%
Hospice Of Michigan $784 734%
Munson Hospice $852 - $914 798%
Medical Cost Savings Solution $1,045 978%
The Robbins Group And Regency Employee Benefits $1,045 978%
Wds Enterprise Group Planning $1,045 978%
First Health/Coventry Network $1,110 1039%
Three Rivers Provider Network $1,110 1039%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals