CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Atrium Health Cleveland

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $662
  • Cash Discount Price: $1,350
  • vs. Medicare Baseline: 6.20x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Atrium Health Cleveland is $662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,350. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.20x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.
Cash / Self-Pay
$1,350

Average discount available for prompt cash payment at this facility.

Insurance Median
$662

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: $1,350 (1264%)
Insurance Median: $662 (620%)
Cash: $1,350 (1264% of Medicare)
Ins. Median: $662 (620% 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 620% of the Medicare baseline (a markup of 520%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Cigna $48 - $2,160 45%
Trillium $48 - $400 45%
Aetna $49 - $2,079 46%
Alliance $49 - $452 46%
Amerihealth Caritas $49 - $381 46%
Carolina Complete Health $49 - $388 46%
Healthy Blue $49 - $388 46%
Humana $49 - $126 46%
Partners $49 - $378 46%
UnitedHealthcare $49 - $1,442 46%
Vaya $49 - $392 46%
Wellcare $49 - $388 46%
Blue Cross Blue Shield $223 - $801 209%
Choicecare $581 - $2,214 544%
Ambetter / Centene $862 - $980 807%
Employers Health Network $1,193 1117%
Physician Reach Out $1,350 1264%
Medcost $1,507 - $1,790 1411%
Magellan $1,620 1517%
Gmmi $1,755 1643%
Quik Trip $1,755 1643%
Carolina Behavioral Health $1,944 - $2,160 1820%
Healthgram $2,160 2022%
First Health $2,295 2149%
Lifesynch Community Choice Care $2,295 2149%
Private Health Care Systems $2,430 2275%
Beechstreet $2,484 2326%
Multiplan $2,565 2401%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 E Grover St, Shelby, NC 28150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals