CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Lancaster General Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $107
  • Cash Discount Price: $1,917
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Lancaster General Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,917. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$1,917

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $1,917 (1795%)
Insurance Median: $107 (100%)
Cash: $1,917 (1795% of Medicare)
Ins. Median: $107 (100% 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.

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
Hospice And Community Care $17 - $364 16%
Old Order Group $24 - $613 22%
Lg Coresource/Lg Eliance $25 - $546 23%
Lancashire Hall $27 - $1,917 25%
Nursing Home Op Services $27 - $575 25%
Affilia Home Health $36 - $1,917 34%
Masonic Homes $37 - $1,917 35%
Highmark $43 - $1,917 40%
Tricare $53 - $96 50%
Eliance Health Solutions $57 - $1,227 53%
Highmark Commercial Preferred $60 - $1,917 56%
Cigna $67 - $1,447 63%
Ehp $73 - $1,572 68%
Upmc Commercial $73 - $1,629 68%
Blue Cross Blue Shield $76 - $1,629 71%
Devon $76 - $1,629 71%
Geisinger Commercial $76 - $1,629 71%
Intergroup Services $76 - $1,629 71%
Preferred Healthcare $76 - $1,629 71%
UnitedHealthcare $76 - $1,629 71%
Medicaid / KanCare $83 - $207 78%
Medi-Share Christian Care $85 - $1,821 80%
Commercial Generic $89 - $1,917 83%
Gateway $89 - $97 83%
Highmark Commercial Non-Preferred $89 - $1,933 83%
Magellan $89 - $1,917 83%
Pa Health And Wellness Mcr $89 - $112 83%
United Behavioral Health $89 - $1,917 83%
Upmc For You $89 - $200 83%
Value Options $89 - $1,917 83%
Workers Compensation $89 - $1,917 83%
Albright Life $106 99%
Coatesville Va $106 99%
Hospice Generic $106 99%
Lebanon Veterans Hospital $106 99%
Medicare (plans) $106 - $117 99%
Aetna $107 - $1,189 100%
Amerihealth Caritas $108 101%
Health Partners Mcr Advantage $109 102%
Devoted Health $112 105%
Elap Employees $151 141%
Oscar Health Plan $207 194%
Claim Watcher Plus $319 299%
Claim Watcher $350 328%
Elap Other Groups $387 362%
Gift Of Life Donor Program $13,500 12639%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals