CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Atrium Health Union

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $371
Cash Discount Price: $1,350
vs. Medicare Baseline: 3.47x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Atrium Health Union is $371. 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 3.47x the Medicare baseline. Located in 600 Hospital Dr, Monroe, NC.

Cash / Self-Pay

$1,350

Average discount available for prompt cash payment at this facility.

Insurance Median

$371

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: $371 (347%)

Cash: $1,350 (1264% of Medicare)

Ins. Median: $371 (347% 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 347% of the Medicare baseline (a markup of 247%). 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
Cigna	$48 - $1,823	45%
Trillium	$48 - $371	45%
Aetna	$49 - $1,647	46%
Alliance	$49 - $418	46%
Amerihealth Caritas	$49 - $354	46%
Carolina Complete Health	$49 - $360	46%
Healthy Blue	$49 - $360	46%
Humana	$49 - $126	46%
Partners	$49 - $351	46%
UnitedHealthcare	$49 - $1,280	46%
Vaya	$49 - $364	46%
Wellcare	$49 - $360	46%
Ortho Carolina	$60 - $154	56%
Blue Cross Blue Shield	$223 - $724	209%
Choicecare	$581 - $2,295	544%
Ambetter / Centene	$805 - $980	754%
Employers Health Network	$1,193	1117%
Medcost	$1,458 - $1,755	1365%
Magellan	$1,620	1517%
Gmmi	$1,755	1643%
Quik Trip	$1,755	1643%
Healthgram	$2,160	2022%
First Health	$2,295	2149%
Beechstreet	$2,430	2275%
Private Health Care Systems	$2,430	2275%
Provider Select	$2,430	2275%
Multiplan	$2,565	2401%

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 $1,350.
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 Atrium Health Union 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.