CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Maimonides Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $52
  • Cash Discount Price: $385
  • vs. Medicare Baseline: 0.49x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Maimonides Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.49x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$385

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $385 (360%)
Insurance Median: $52 (49%)
Cash: $385 (360% of Medicare)
Ins. Median: $52 (49% 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
Blue Cross Blue Shield $11 - $551 10%
Cigna $11 - $217 10%
Emblem Health - Hip $11 - $141 10%
Healthfirst $12 - $128 11%
Metroplus $23 - $157 22%
United Community Plan $23 - $144 22%
UnitedHealthcare $23 - $172 22%
Fidelis $32 - $84 30%
Molina $33 - $101 31%
Emblem Health - Ghi $40 - $397 37%
Aetna $41 - $130 38%
Centers Plan For Healthy Living $41 - $86 38%
Elderplan $41 - $83 38%
Wellcare $41 - $63 38%
Emblem Health - Hip Vip $43 - $56 40%
Local 1199 $43 - $302 40%
Villagecare Maxx Fida $43 - $111 40%
Visiting Nurse Svc Of Ny $43 - $71 40%
Oxford Health Plan $52 - $172 49%
Hamaspik $55 - $64 51%
Magnacare $72 67%
Oxford Liberty $77 - $172 72%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals