CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Atlantic Rehabilitation Institute, LLC

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $6,751
  • Cash Discount Price: $6,751
  • vs. Medicare Baseline: 63.21x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Atlantic Rehabilitation Institute, LLC is $6,751. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,751. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 63.21x the Medicare baseline. Located in 200 Madison Ave, Madison, NJ.
Cash / Self-Pay
$6,751

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,751

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: $6,751 (6321%)
Insurance Median: $6,751 (6321%)
Cash: $6,751 (6321% of Medicare)
Ins. Median: $6,751 (6321% 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 6321% of the Medicare baseline (a markup of 6221%). 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 $6,751 6321%
All Savers Cpd $6,751 6321%
Ama Insurance Msg $6,751 6321%
Ambetter / Centene $6,751 6321%
Amerigroup Mgg (Wellpoint As Of 5/1/24) $6,751 6321%
Amerihealth Cpd $6,751 6321%
Amerihealth Mgg $6,751 6321%
Blue Cross Blue Shield $6,751 6321%
Braven Health Cpd $6,751 6321%
Braven Health Mgd $6,751 6321%
Cigna $6,751 6321%
Claim Doc Llc Cpd $6,751 6321%
First Managed Care Wc Cpd $6,751 6321%
Gateway Mgg $6,751 6321%
Medicaid / KanCare $6,751 6321%
Oscar Health Cpd $6,751 6321%
Oxford Health Plan Cpd $6,751 6321%
Oxford Mgg $6,751 6321%
Qualcare Cpd $6,751 6321%
Qualcare Lynx Wc Cpd $6,751 6321%
UnitedHealthcare $6,751 6321%
Upmc For Life Mgg $6,751 6321%
Wellcare Mgg $6,751 6321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Madison Ave, Madison, NJ 07940
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL