CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: McLaren Flint

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $74
Cash Discount Price: $429
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at McLaren Flint is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $429. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.69x the Medicare baseline. Located in 401 S Ballenger Highway, Flint, MI.

Cash / Self-Pay

$429

Average discount available for prompt cash payment at this facility.

Insurance Median

$74

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: $429 (402%)

Insurance Median: $74 (69%)

Cash: $429 (402% of Medicare)

Ins. Median: $74 (69% 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
Medicaid / KanCare	$32 - $60	30%
Humana	$49 - $104	46%
Medicare (plans)	$49 - $166	46%
Mclaren Commercial Ins	$54 - $403	51%
U Of M Health Plan	$56	52%
UnitedHealthcare	$59 - $1,110	55%
Aetna	$66 - $746	62%
Priority Health	$74 - $763	69%
Blue Cross Blue Shield	$81 - $560	76%
Tricare	$101	95%
Mi Amish Medical Board	$104	97%
Cofinity Auto	$197	184%
Workers Compensation	$452	423%
Cofinity Group 15892 & 15893	$666	624%

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 $429.
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 McLaren Flint 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.