CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $203
  • Cash Discount Price: $4,112
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at University Medical Center of Princeton at Plainsboro is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,112. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.90x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$4,112

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $4,112 (3850%)
Insurance Median: $203 (190%)
Cash: $4,112 (3850% of Medicare)
Ins. Median: $203 (190% 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.

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 $12 - $6,737 11%
Medicaid / KanCare $12 - $8,088 11%
Charity Care $13 - $757 12%
Wellcare $14 - $820 13%
Blue Cross Blue Shield $27 - $6,084 25%
Preferred Health Care Eliance $35 - $2,103 33%
Horizon Behavioral Health $51 - $3,032 48%
Beacon Health Options $68 - $4,044 64%
Amerihealth $80 - $4,786 75%
Magnacare $81 - $5,662 76%
Princeton Theological Seminary $88 - $5,257 82%
Coventry $94 - $5,662 88%
Health Net $94 - $5,662 88%
Beech Street $108 - $6,875 101%
Intergrated Health Plan $108 - $6,470 101%
Intergroup $108 - $6,470 101%
Penn Global Medicine Embassy Only $108 - $6,470 101%
Allied Trades $115 - $6,875 108%
Consumer Health Network $115 - $6,875 108%
Devon Health Services $115 - $6,875 108%
First Managed Care Option $115 - $6,875 108%
Ie Shaffer $115 - $6,875 108%
Private Healthcare Systems $115 - $6,875 108%
Qualcare $115 - $6,875 108%
Total Care Network $115 - $6,875 108%
Tri-State $115 - $6,875 108%
Tricare $118 110%
Medicare (plans) $119 - $131 111%
UnitedHealthcare $119 - $2,399 111%
Va Medical Center $119 111%
Cigna $123 - $8,088 115%
Clover Health Plan $126 118%
Humana $129 121%
Commercial Other $135 - $8,088 126%
Compsych $135 - $8,088 126%
Concern Plus $135 - $8,088 126%
International Pfs $135 - $8,088 126%
Life St. Francis $135 - $8,088 126%
Magellan $135 - $8,088 126%
Managed Health Network $135 - $8,088 126%
Nj Carpenters $135 - $8,088 126%
Penn Behavioral Health Corporate Services $135 - $8,088 126%
Personnel Health Program $135 - $8,088 126%
United Behavioral Health $135 - $8,088 126%
Us Family Health Plan $135 126%
Elap $169 - $215 158%
Centivo $215 201%
Claim Watcher $215 201%
Horizon Nj Health $234 219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals