CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mercy Hospital Marietta

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,495
  • Cash Discount Price: $2,492
  • vs. Medicare Baseline: 14.00x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mercy Hospital Marietta is $1,495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,492. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.00x the Medicare baseline. Located in 300 Wanda Street, Marietta, OK.
Cash / Self-Pay
$2,492

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,495

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: $2,492 (2333%)
Insurance Median: $1,495 (1400%)
Cash: $2,492 (2333% of Medicare)
Ins. Median: $1,495 (1400% 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 1400% of the Medicare baseline (a markup of 1300%). 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
Aetna $71 - $1,737 66%
Humana $71 - $807 66%
Medicaid / KanCare $71 66%
Health Choice Contracted [320166] $292 273%
Blue Cross Blue Shield $807 - $1,321 756%
Cross Timbers Hospice [20098] $807 756%
Elara Caring Aspire Hospice Contracted [320433] $807 756%
Elara Caring Aspire Hospice [20433] $807 756%
Halo Hcr Inc Hospice Contracted [320432] $807 756%
Halo Hcr Inc Hospice [20432] $807 756%
Independent Health [20197] $807 756%
Indian Health Service Contracted [320198] $807 756%
Kindful Hospice Contracted [320434] $807 756%
Kindful Hospice [20434] $807 756%
Medical Associates Health [20444] $807 756%
Medicare (plans) $807 - $847 756%
Mercy Hospice Okc [20252] $807 756%
UnitedHealthcare $847 - $1,744 793%
Tricare $853 799%
Cigna $882 - $1,869 826%
Webtpa Contracted [320417] $1,047 980%
Aither Health Contracted [320449] $1,495 - $2,118 1400%
Mercy Benefit Admin Contracted [320251] $1,495 - $2,243 1400%
Quik Trip Contracted [320447] $1,495 1400%
Show-Me Health Administrators Contracted [320483] $1,495 1400%
Osma Health Contracted [320292] $1,744 1633%
United Medical Resources Contracted [320454] $1,744 - $2,243 1633%
First Health Contracted [320128] $1,762 1650%
Benefit Management Contracted [320052] $1,869 - $2,243 1750%
Healthcare Highways Plus Contracted [320175] $1,869 1750%
Auxiant Contracted [320462] $2,118 - $2,243 1983%
Ebms Contracted [320493] $2,118 1983%
Healthlink Contracted [320179] $2,118 - $2,243 1983%
Preferred Community Choice Contracted [320311] $2,118 1983%
Federal Medical Center Contracted [320127] $2,243 2100%
Healthscope Contracted [320182] $2,243 2100%
Point C Contracted [320238] $2,243 2100%
Preferred Health Plan Contracted [320522] $2,243 2100%
Tri State Healthcare Coalition Contracted [320379] $2,243 2100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Wanda Street, Marietta, OK 73448
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals