CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: North Carolina Baptist Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $423
  • Cash Discount Price: $632
  • vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at North Carolina Baptist Hospital is $423. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $632. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.96x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$632

Average discount available for prompt cash payment at this facility.

Insurance Median
$423

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: $632 (592%)
Insurance Median: $423 (396%)
Cash: $632 (592% of Medicare)
Ins. Median: $423 (396% 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 396% of the Medicare baseline (a markup of 296%). 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
Aetna $103 - $1,102 96%
Apex $103 96%
Blue Cross Blue Shield $103 - $477 96%
Cigna $103 - $1,047 96%
Devoted $103 96%
Healthteam $103 96%
UnitedHealthcare $103 - $1,178 96%
Wellcare $103 - $297 96%
Humana $104 - $709 97%
Medicare (plans) $104 97%
Liberty $118 110%
Medcost $243 - $863 228%
Amerihealth $278 - $350 260%
Carolina Complete $278 - $293 260%
Health Blue $278 - $293 260%
Partners $278 - $293 260%
Vaya $281 - $296 263%
Alliance $283 - $299 265%
Trillium $286 - $302 268%
Ambetter / Centene $332 - $350 311%
Oscar $369 - $467 345%
Directnet $726 - $767 680%
Cone Health $860 - $908 805%
Healthgram $860 - $908 805%
First Carolina Care $983 - $1,038 920%
Private Healthcare Systems $1,008 - $1,064 944%
Multiplan $1,106 - $1,167 1035%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals