CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Speare Memorial Hospital

Billing Code: 71250 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$725
about 6.8× the $107 Medicare rate · typically $118–$991
modeled estimate · not a bill or quote
What this hospital charges insurers
$813
About the fair price
about $88 over the fair price · 7.6× Medicare
Medicare pays $107 Fair price $725 This hospital $813 Cash price $985 Hospital's list price $1,589

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Highest price of the 9 NH hospitals we have prices for — worth calling around.

Cheapest $85 Priciest $813

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, chest (no contrast) is about $725 (about 6.8× the $107 Medicare rate). Speare Memorial Hospital charges insurers about $813, or about $985 in cash — about the fair price. Located in Plymouth, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $813 - $1,034 761%
Cignamajor $436 408%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 16 Hospital Road, Plymouth, NH 03264
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals