CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: PAM Health Specialty Hospital of Oklahoma City

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $3,921
  • Cash Discount Price: $5,228
  • vs. Medicare Baseline: 36.71x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at PAM Health Specialty Hospital of Oklahoma City is $3,921. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,228. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 36.71x the Medicare baseline. Located in 1407 N Robinson Ave, Oklahoma City, OK.
Cash / Self-Pay
$5,228

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,921

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: $5,228 (4895%)
Insurance Median: $3,921 (3671%)
Cash: $5,228 (4895% of Medicare)
Ins. Median: $3,921 (3671% 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 3671% of the Medicare baseline (a markup of 3571%). 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
America'S Choice $3,660 3427%
Quik Trip $3,921 3671%
Usa Managed Care Organization $3,921 3671%
Velocity Provider Ppo Network $3,921 3671%
Prime Health Services $4,444 4161%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1407 N Robinson Ave, Oklahoma City, OK 73103
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL