CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Elmhurst Hospital Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $373
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.49x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Elmhurst Hospital Center is $373. 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 3.49x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$373

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: $373 (349%)
Ins. Median: $373 (349% 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 349% of the Medicare baseline (a markup of 249%). 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 - $830 41%
Aetna $52 - $1,131 49%
Amidacare $55 - $369 51%
Emblem $55 - $1,230 51%
Wellcare $59 - $923 55%
Metroplus $70 - $830 66%
Fidelis $79 - $830 74%
Oscar $82 - $1,228 77%
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%
Centerlight $293 - $769 274%
Carelon $369 - $999 345%
Senior Whole Health $369 345%
United Behavioral Health $369 - $406 345%
Affinity $376 - $830 352%
Carelon (Amida Care) $376 352%
Magnacare $439 - $1,153 411%
Multiplan $468 - $1,230 438%
Local 1199 $497 - $1,307 465%
Villagecare Max $497 - $1,307 465%
Cigna $1,056 989%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals