CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Southwest General Health Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $196
  • Cash Discount Price: $1,683
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Southwest General Health Center is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,683. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.84x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$1,683

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

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: $1,683 (1576%)
Insurance Median: $196 (184%)
Cash: $1,683 (1576% of Medicare)
Ins. Median: $196 (184% 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
Medical Mutual $42 - $46 39%
Medical Mutual-Ohio $42 - $175 39%
Buckeye $131 - $196 123%
Caresource $131 - $196 123%
Humana $131 - $875 123%
Molina $131 - $196 123%
UnitedHealthcare $131 - $1,212 123%
Amerihealth Caritas $136 - $196 127%
Blue Cross Blue Shield $175 - $232 164%
Valor Health $175 164%
Healthsmart $718 672%
Health Design Plus $830 777%
Clarity Health $898 841%
Healthspan $898 841%
Healthsmart Preferred $1,010 946%
Ohio Health Choice Plus $1,086 1017%
Summacare $1,212 1135%
Aetna $1,214 1137%
Cigna $1,227 1149%
Coventry $1,548 1449%
First Health $1,548 1449%
Ohio Health Choice $1,735 1624%
Private Healthare Systems $1,795 1681%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals