CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $128
  • Cash Discount Price: $1,778
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Munson Healthcare Manistee Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,778. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.20x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$1,778

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $1,778 (1665%)
Insurance Median: $128 (120%)
Cash: $1,778 (1665% of Medicare)
Ins. Median: $128 (120% 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 - $1,955 30%
Meridian $32 - $54 30%
Molina $32 - $125 30%
Priority Health $32 - $292 30%
UnitedHealthcare $32 - $2,346 30%
Blue Cross Blue Shield $33 - $1,308 31%
Aetna $49 - $2,252 46%
Hap (Health Alliance Plan) $49 - $2,086 46%
Humana $49 - $125 46%
Medicare (plans) $49 - $125 46%
Michigan Amish Medical Board $49 - $125 46%
Northern Michigan Mennonite Group $49 - $125 46%
Prime Health Services $49 - $2,398 46%
Wellcare Meridian $49 - $125 46%
Provider Network Of America $68 - $2,216 64%
Asr/Physicians Care $73 - $2,086 68%
Cofinity $73 - $2,294 68%
Cigna $76 - $292 71%
Nomi Health $78 - $2,086 73%
Employee Benefits Logistics $83 - $212 78%
Munson Hospice $852 - $1,825 798%
Hospice Of Michigan $946 - $1,564 886%
Enterprise Group Planning/Employee Benefits Plan $1,262 - $2,086 1182%
Medical Cost Savings Solution $1,262 - $2,086 1182%
Three Rivers Provider Network $1,340 - $2,216 1255%
Multiplan $1,388 - $2,294 1300%
Great West Healthcare $1,419 - $2,346 1329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals