CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Ellenville Regional Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $478
Cash Discount Price: $525
vs. Medicare Baseline: 4.48x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Ellenville Regional Hospital is $478. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $525. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.48x the Medicare baseline. Located in 10 Healthy Way, Ellenville, NY.

Cash / Self-Pay

$525

Average discount available for prompt cash payment at this facility.

Insurance Median

$478

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: $525 (492%)

Insurance Median: $478 (448%)

Cash: $525 (492% of Medicare)

Ins. Median: $478 (448% 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 448% of the Medicare baseline (a markup of 348%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$24 - $798	22%
Emblemhealth	$54 - $994	51%
Cdphp	$58 - $460	54%
Blue Cross Blue Shield	$63 - $497	59%
Fidelis	$63 - $497	59%
Hamaspik Choice	$63 - $497	59%
Humana	$63 - $497	59%
Mvp Health Care Of Ny	$66 - $932	62%
Aetna	$73 - $1,076	68%
Local 1199Seiu	$73 - $1,076	68%
Wellcare	$87 - $683	81%
Galaxy Health	$103 - $807	96%
Oxford Health Plans	$798	747%

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 $525.
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 Ellenville Regional 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.