CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Children's Specialized Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,138
  • Cash Discount Price: $745
  • vs. Medicare Baseline: 10.65x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Children's Specialized Hospital is $1,138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $745. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.65x the Medicare baseline. Located in 200 Somerset St, New Brunswick, NJ.
Cash / Self-Pay
$745

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,138

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: $745 (698%)
Insurance Median: $1,138 (1065%)
Cash: $745 (698% of Medicare)
Ins. Median: $1,138 (1065% 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 1065% of the Medicare baseline (a markup of 965%). 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
Blue Cross Blue Shield $146 - $1,459 137%
First Health $893 836%
Cigna $897 840%
Emblem Health $1,013 948%
Amerihealth $1,128 1056%
Aetna $1,138 - $1,147 1065%
Fidelis Care $1,138 1065%
Wellpoint $1,138 1065%
Qualcare Inc $1,161 1087%
UnitedHealthcare $1,173 1098%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Somerset St, New Brunswick, NJ 08901
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens