CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $972
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 9.10x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Arthur G James Cancer Hospital and Research Institute is $972. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.10x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$972

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%)
Insurance Median: $972 (910%)
Ins. Median: $972 (910% 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 910% of the Medicare baseline (a markup of 810%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Healthspan $396 - $5,413 371%
Medigold $396 371%
Upper Ohio Valley $396 - $5,413 371%
Medicare (plans) $400 - $5,467 374%
Humana $404 - $5,521 378%
Medicaid / KanCare $458 - $629 429%
Cigna $475 - $1,312 445%
United $475 - $1,277 445%
Aetna $481 - $5,388 450%
Caresource $597 - $893 559%
Mmo $597 - $1,439 559%
Molina $597 - $5,388 559%
Odrc $629 - $736 589%
Blue Cross Blue Shield $665 - $2,137 623%
Buckeye Community $668 - $887 625%
Amerihealth $674 - $975 631%
Osu Health Plan $827 - $1,198 774%
Lifetrac $1,176 - $1,231 1101%
Ohio Ppo $1,188 1112%
Ohiohealth $1,303 - $1,321 1220%
Frontpath $1,448 1356%
Healthsmart $1,629 1525%
Multiplan $1,683 1576%
Ohio Dept Of Health $4,289 4016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 460 W 10Th Ave, Columbus, OH 43210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL