CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: The University of Vermont Health Network - Champl

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $123
Cash Discount Price: $1,732
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at The University of Vermont Health Network - Champl is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,732. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.15x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$1,732

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $1,732 (1622%)

Insurance Median: $123 (115%)

Cash: $1,732 (1622% of Medicare)

Ins. Median: $123 (115% 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
Blue Cross Blue Shield	$34 - $2,117	32%
UnitedHealthcare	$34 - $2,524	32%
Mvp	$41 - $2,633	38%
Aetna	$48 - $2,359	45%
Capital District Physicians' Health Plan	$48 - $2,608	45%
Fidelis Care	$48 - $130	45%
Humana	$48 - $123	45%
Martins Point	$48 - $139	45%
Veterans Affairs Community Care Network	$48 - $130	45%
Highmark Blueshield	$63 - $2,613	59%
Wellpath	$67 - $195	63%
Harvard Pilgrim	$124 - $2,646	116%
Magnacare	$124 - $2,646	116%
St. Regis	$124 - $130	116%
Coventry	$140 - $2,977	131%
Multiplan	$147 - $3,143	138%
Emblem Health	$2,646	2477%

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 $1,732.
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 The University of Vermont Health Network - Champl 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.