CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $402
  • Cash Discount Price: $2,749
  • vs. Medicare Baseline: 3.76x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Hospital of Univ of Pennsylvania is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,749. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.76x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$2,749

Average discount available for prompt cash payment at this facility.

Insurance Median
$402

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: $2,749 (2574%)
Insurance Median: $402 (376%)
Cash: $2,749 (2574% of Medicare)
Ins. Median: $402 (376% 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 376% of the Medicare baseline (a markup of 276%). 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
Paired Kidney Exchange $15 - $150 14%
Gspp And Wissahickon Hospice $55 51%
Medicaid / KanCare $83 - $4,995 78%
Horizon Nj Health $85 - $878 80%
Kaiser Permanente $87 - $4,995 81%
UnitedHealthcare $97 - $4,995 91%
Keystone Mercy Health Plan $106 - $4,995 99%
Blue Cross Blue Shield $110 - $3,832 103%
Medicare (plans) $110 - $112 103%
Philadelphia Va Medical Center $110 103%
Tricare $110 103%
Upmc $110 - $4,995 103%
Preferred Health Care Eliance $111 - $1,099 104%
Ibc $112 105%
Cigna $113 - $2,248 106%
Geisinger Health Plan $113 - $349 106%
Health Partners $113 - $4,995 106%
Humana $113 - $3,996 106%
Devoted Health $115 108%
Pa Health And Wellness $115 - $181 108%
Penn Life (Living Independently For Elders) $115 108%
Aetna $116 - $4,995 109%
Pgm - Regie De L'Assurance Maladie Quebec $116 - $1,149 109%
Clover Health Plan $119 111%
Keystone First $122 114%
Us Family Health Plan $126 118%
Pa Medical Assistance $134 - $4,995 125%
Gateway Health Plan $136 127%
Elap $156 146%
Claims Watcher $176 - $198 165%
Pgm - Kuwait Defense $176 - $2,248 165%
Oscar Health Plan $187 175%
Qualcare $191 - $1,898 179%
Centivo $198 185%
Olympus $198 - $1,963 185%
Coventry $201 - $2,547 188%
Pgm - Chop $201 - $1,998 188%
Wissahickon Hospice $201 - $1,998 188%
Elap Services $204 191%
Healthamerica/Coventry $226 - $2,448 212%
Highmark $231 216%
First Health Global $252 - $2,498 236%
Penn Global Medicine $291 272%
Health Net $302 - $2,997 283%
Pgm - Royal Embassy Of Saudi Arabia $302 - $2,997 283%
Keystone Hmo Proactive $304 285%
Ibc Commercial Hpn $314 294%
Pgm - Embassy Of Qatar $327 - $3,247 306%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $327 - $3,247 306%
Interlink $337 - $3,347 316%
Pgm - Embassy Of The United Emirates/Ipc $352 - $3,496 330%
Health America/Ccn $402 - $3,996 376%
Intergroup $402 - $3,996 376%
Pgm - Kuwait Health Division $402 - $3,996 376%
Pgm - Kuwait Oil $402 - $3,996 376%
Preferred Care $402 - $3,996 376%
Blue Quality Centers For Transplant (Bqct) $503 - $4,995 471%
City Of Philadelphia Behavioral Health $503 - $4,995 471%
Commercial Other $503 - $4,995 471%
International Pfs $503 - $4,995 471%
United Behavioral Health $503 - $4,995 471%
Workers Compensation $503 - $4,995 471%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals