CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Capital Health Medical Center - Hopewell

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $993
Cash Discount Price: $23,111
vs. Medicare Baseline: 9.30x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Capital Health Medical Center - Hopewell is $993. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,111. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.30x the Medicare baseline. Located in One Capital Way, Pennington, NJ.

Cash / Self-Pay

$23,111

Average discount available for prompt cash payment at this facility.

Insurance Median

$993

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: $23,111 (21637%)

Insurance Median: $993 (930%)

Cash: $23,111 (21637% of Medicare)

Ins. Median: $993 (930% 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 930% of the Medicare baseline (a markup of 830%). 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
Clover	$118	110%
Wellpoint	$118 - $998	110%
Humana	$120	112%
Medicare (plans)	$120	112%
Fidelis	$186	174%
Oxford Benefit Plan	$252	236%
Cigna	$262 - $17,333	245%
UnitedHealthcare	$287 - $924	269%
Medicaid / KanCare	$987	924%
Aetna	$1,248 - $8,204	1168%
Blue Cross Blue Shield	$2,304 - $2,764	2157%
Multiplan	$19,644	18392%

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 $23,111.
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 Capital Health Medical Center - Hopewell 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.