CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Albany Medical Center Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $118
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Albany Medical Center Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $178 (167%)
Insurance Median: $118 (110%)
Cash: $178 (167% of Medicare)
Ins. Median: $118 (110% 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
Cdphp $33 - $819 31%
Blue Cross Blue Shield $36 - $819 34%
Medicare (plans) $36 - $143 34%
Fidelis $38 - $819 36%
Tricare $41 - $126 38%
Hamaspik $45 - $855 42%
Medicaid / KanCare $45 - $199 42%
Blue Shield Highmark $48 - $576 45%
UnitedHealthcare $48 - $1,639 45%
Aetna $50 - $397 47%
Mvp $52 - $364 49%
Emblem Health Ghi $53 - $276 50%
Nascentia $53 - $138 50%
Empire Plan Nyship $69 - $1,639 65%
Multiplan $73 - $1,742 68%
Cigna $81 - $262 76%
Blue Shield $86 - $386 81%
Nys Department Of Corrections $129 - $342 121%
Nascentia Health Options $189 177%
Emblem $194 - $320 182%
Mvp Commercial $283 265%
Emblem_Ghi $320 300%
Mvp Essential Plan $783 733%
Magnacare $4,998 4679%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals