CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $6,954
  • Cash Discount Price: $6,954
  • vs. Medicare Baseline: 65.11x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at University Hospitals Avon Rehabilitation Hospital is $6,954. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,954. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 65.11x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$6,954

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,954

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: $6,954 (6511%)
Insurance Median: $6,954 (6511%)
Cash: $6,954 (6511% of Medicare)
Ins. Median: $6,954 (6511% 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 6511% of the Medicare baseline (a markup of 6411%). 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
Uh Employees (Administered By Meritian) $2,705 2533%
Blue Cross Blue Shield $3,998 - $6,954 3743%
Healthsmart (Formerly Emerald) $4,520 4232%
Ohio Health Choice - Preferred Choice Plus $4,520 4232%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $5,146 4818%
Occunet Fka Health Ohio Network $5,146 4818%
Paramount $5,215 - $6,954 4883%
Ohio Preferred Network $5,563 5208%
First Health $5,911 5534%
Beechstreet $6,258 5859%
Fortified $6,258 5859%
Multiplan $6,258 5859%
Ohio Health Choice $6,258 5859%
Phcs $6,258 5859%
Aetna $6,954 6511%
Ambetter / Centene $6,954 6511%
Amerihealth Cartias $6,954 6511%
Antidote Healthe Care Of Ohio $6,954 6511%
Aultcare $6,954 6511%
Buckeye $6,954 6511%
Caresource $6,954 6511%
Caresource (Marketplace) $6,954 6511%
Cigna $6,954 6511%
Devoted $6,954 6511%
Health Plan $6,954 6511%
Humana $6,954 6511%
Jp Farley (Select Employers) $6,954 6511%
Medical Mutual $6,954 6511%
Medical Mutual (Supermed, Trad, Medflex) $6,954 6511%
Medical Mutual (Marketplace Plan) $6,954 6511%
Molina $6,954 6511%
Summacare $6,954 6511%
United $6,954 6511%
UnitedHealthcare $6,954 6511%
Wellcare $6,954 6511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL