CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Saratoga Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $146
Cash Discount Price: $1,591
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Saratoga Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,591. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.37x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.

Cash / Self-Pay

$1,591

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $1,591 (1490%)

Insurance Median: $146 (137%)

Cash: $1,591 (1490% of Medicare)

Ins. Median: $146 (137% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$51 - $1,559	48%
Mvp Commercial	$65 - $2,227	61%
Cdphp	$85 - $825	80%
Blue Cross Blue Shield	$94 - $1,909	88%
Fidelis	$94 - $825	88%
Medicare (plans)	$94 - $126	88%
Hamaspik	$118 - $861	110%
Tricare	$118 - $126	110%
Emblem	$126 - $194	118%
Emblem Health Ghi	$126 - $138	118%
UnitedHealthcare	$126 - $2,863	118%
Mvp	$139 - $262	130%
Blue Shield	$169 - $487	158%
Blue Shield Highmark	$175 - $576	164%
Nascentia Health Options	$189	177%
Medicaid / KanCare	$199	186%
Cigna	$217 - $262	203%
Mvp Essential Plan	$367 - $733	344%
Mvp Govt Programs	$367	344%
Empire Plan Nyship	$2,227	2085%
Multiplan	$2,386 - $2,704	2234%
Magnacare	$2,863 - $3,022	2680%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,591.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Saratoga Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.