CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Alliancehealth Madill

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $690
  • Cash Discount Price: $1,135
  • vs. Medicare Baseline: 6.46x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Alliancehealth Madill is $690. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,135. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.46x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$1,135

Average discount available for prompt cash payment at this facility.

Insurance Median
$690

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: $1,135 (1063%)
Insurance Median: $690 (646%)
Cash: $1,135 (1063% of Medicare)
Ins. Median: $690 (646% 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 646% of the Medicare baseline (a markup of 546%). 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 $113 - $2,594 106%
Humana $113 - $670 106%
Medicaid / KanCare $113 106%
Ok Work Comp $183 171%
Node Us Dept Of Labor $211 198%
Healthchoice $292 273%
Preferred Community Choice Ppo $486 455%
Blue Cross Blue Shield $496 - $690 464%
Medicare (plans) $670 627%
Node Global Health Mcr Adv $670 627%
UnitedHealthcare $670 - $1,508 627%
Node Indian Health Service Managed Care $681 638%
Node Va $681 - $1,566 638%
Node Champva $701 656%
Tricare $701 656%
Self Pay $1,135 1063%
Coventry $1,621 1518%
Globalhealth $2,010 1882%
Healthcare Highways $2,027 1898%
Phcs $2,269 2124%
Multiplan $2,432 - $2,529 2277%
First Health $2,658 2489%
Cigna $2,756 2580%
Evolutions Healthcare Systems $2,756 2580%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals