CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Jacobi Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $394
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.69x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Jacobi Medical Center is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.69x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$394

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%)
Insurance Median: $394 (369%)
Ins. Median: $394 (369% 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 369% of the Medicare baseline (a markup of 269%). 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
Healthfirst $44 - $887 41%
Aetna $52 - $1,131 49%
Amidacare $55 - $394 51%
Emblem $55 - $1,230 51%
Wellcare $60 - $923 56%
Metroplus $70 - $887 66%
Fidelis $80 - $887 75%
Oscar $83 - $1,228 78%
Blue Cross Blue Shield $126 - $1,230 118%
Elderplan $126 - $999 118%
Vaccn $126 118%
Vnsny $126 - $1,307 118%
Centers Plan For Healthy Living $131 123%
Oxford $292 - $923 273%
United $292 - $1,230 273%
Carelon $394 - $999 369%
Senior Whole Health $394 369%
United Behavioral Health $394 - $434 369%
Affinity $402 - $887 376%
Carelon (Amida Care) $402 376%
Centerlight $769 720%
Cigna $1,056 989%
Magnacare $1,153 1079%
Multiplan $1,230 1152%
Local 1199 $1,307 1224%
Villagecare Max $1,307 1224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals