CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Strong Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $199
Cash Discount Price: $459
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Strong Memorial Hospital is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $459. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.86x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

$459

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $459 (430%)

Insurance Median: $199 (186%)

Cash: $459 (430% of Medicare)

Ins. Median: $199 (186% 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
Medicaid / KanCare	$109 - $438	102%
Blue Cross Blue Shield	$114 - $358	107%
Aetna	$126 - $504	118%
Elderplan [1316]	$126	118%
Excellus Bc/Bs [2201]	$126 - $237	118%
Icircle [1728]	$126	118%
Martins Point [1205]	$126 - $130	118%
Medicare (plans)	$126 - $174	118%
Nascentia [1729]	$126	118%
UnitedHealthcare	$126 - $378	118%
Humana	$127 - $161	119%
Excellus [2201]	$141	132%
Molina Healthcare [1723], Molina Healthcare [5189]	$141	132%
Molina Healthcare [5189]	$141	132%
Highmark Bc/Bs Of Western Ny [5143]	$159 - $163	149%
Mvp [2900]	$170 - $624	159%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$201 - $440	188%
Cigna	$258 - $624	242%
Independent Health [5156]	$281 - $340	263%
Fidelis [5155]	$311 - $460	291%
Capital District Physicians Health Plan (Cdphp) [5149]	$339 - $453	317%

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 $459.
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 Strong Memorial 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.