CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Cambridge Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $574
Cash Discount Price: $684
vs. Medicare Baseline: 5.37x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Cambridge Medical Center is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $684. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.37x the Medicare baseline. Located in 701 South Dellwood Avenue, Cambridge, MN.

Cash / Self-Pay

$684

Average discount available for prompt cash payment at this facility.

Insurance Median

$574

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: $684 (640%)

Insurance Median: $574 (537%)

Cash: $684 (640% of Medicare)

Ins. Median: $574 (537% 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 537% of the Medicare baseline (a markup of 437%). 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
Medicaid / KanCare	$100	94%
Aetna	$102 - $969	95%
Hennepin Health	$103	96%
Medicare (plans)	$108	101%
Ucare Pmap (A B C D E G N O S U R H)	$109 - $328	102%
Medica	$112 - $1,036	105%
Blue Cross Blue Shield	$113 - $488	106%
Scha Msho (D)	$118	110%
Health Partners	$266 - $709	249%
Medica Ubh (D)	$380 - $1,369	356%
Americas Ppo (Araz)(B D N O R S V)	$419 - $1,257	392%
Americas Ppo (Araz) (B D N H O R S)	$456 - $1,369	427%
First Health (A C E G H U B D N O R S)	$456 - $1,369	427%
All Other Contracted Care (A B C D E G H N O R S U)	$543 - $1,629	508%
Medica Health System	$574 - $1,090	537%
Healthpartners	$650	609%
Medica Mhps	$1,036	970%
UnitedHealthcare	$1,364	1277%

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 $684.
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 Cambridge 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.