CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Nationwide Children's Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $568
Cash Discount Price: $1,296
vs. Medicare Baseline: 5.32x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Nationwide Children's Hospital is $568. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,296. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.32x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$1,296

Average discount available for prompt cash payment at this facility.

Insurance Median

$568

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: $1,296 (1213%)

Insurance Median: $568 (532%)

Cash: $1,296 (1213% of Medicare)

Ins. Median: $568 (532% 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 532% of the Medicare baseline (a markup of 432%). 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
Aetna	$62 - $1,368	58%
Caresource	$73 - $282	68%
Humana	$117 - $1,368	110%
Ohio Ppo Connect	$144 - $1,339	135%
Osu	$144 - $1,339	135%
UnitedHealthcare	$154 - $1,368	144%
Blue Cross Blue Shield	$170 - $1,354	159%
Tricare	$178	167%
Mmo	$184 - $1,354	172%
Cigna	$191 - $1,354	179%
Front Path Health Coalition	$191 - $1,354	179%
Ohc	$191 - $1,339	179%
Ohg	$191 - $1,296	179%
The Health Plan	$191 - $1,382	179%
Amerihealth	$282	264%
Bchp	$282	264%
Molina	$282	264%
Ahpo	$1,354	1268%
Unicare	$1,368	1281%
Emerald Health	$1,411	1321%
First Health	$1,411	1321%
Phcs	$1,411	1321%

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 $1,296.
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 Nationwide Children's 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.