CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mercy Health Rehabilitation Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,771
  • Cash Discount Price: $1,771
  • vs. Medicare Baseline: 16.58x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mercy Health Rehabilitation Hospital is $1,771. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,771. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.58x the Medicare baseline. Located in 3180 Belmont Ave, Youngstown, OH.
Cash / Self-Pay
$1,771

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,771

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: $1,771 (1658%)
Insurance Median: $1,771 (1658%)
Cash: $1,771 (1658% of Medicare)
Ins. Median: $1,771 (1658% 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 1658% of the Medicare baseline (a markup of 1558%). 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
Medical Mutual Nas $971 909%
Aultcare $1,204 1127%
Multiplan $1,488 1393%
Aetna $1,771 1658%
Ambetter / Centene $1,771 1658%
Blue Cross Blue Shield $1,771 1658%
Caresource Exchange $1,771 1658%
Cigna $1,771 1658%
Devoted $1,771 1658%
Highmark Ppo Commercial $1,771 1658%
Highmark Ppo Exchange $1,771 1658%
Humana $1,771 1658%
Medicaid / KanCare $1,771 1658%
Medical Mutual Exchange $1,771 1658%
Medical Mutual Medflex $1,771 1658%
Medical Mutual New Biz $1,771 1658%
Medical Mutual Supermed Commercial $1,771 1658%
Medical Mutual Traditional Commercial $1,771 1658%
Medicare (plans) $1,771 1658%
Molina Exchange $1,771 1658%
UnitedHealthcare $1,771 1658%
Upmc $1,771 1658%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3180 Belmont Ave, Youngstown, OH 44505
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL