CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Punxsutawney Area Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $112
Cash Discount Price: $239
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Punxsutawney Area Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.05x the Medicare baseline. Located in 81 Hillcrest Drive, Punxsutawney, PA.

Cash / Self-Pay

$239

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $239 (224%)

Insurance Median: $112 (105%)

Cash: $239 (224% of Medicare)

Ins. Median: $112 (105% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Highmark Wholecare	$29 - $125	27%
UnitedHealthcare	$33 - $382	31%
Tricare	$43 - $112	40%
Aetna	$48 - $348	45%
Amerihealth Caritas	$48 - $123	45%
Geisinger Health Plan	$48 - $125	45%
Highmark	$48 - $2,061	45%
United Mine Workers Of America	$48 - $125	45%
Upmc Health Plan	$48 - $909	45%
Cigna	$50 - $567	47%
Ambetter / Centene	$51 - $131	48%
Pa Health And Wellness Commercial	$60 - $218	56%
Geisinger	$68 - $305	64%
Humana	$107	100%
Pa Workers Compensation	$188 - $955	176%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $239.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Punxsutawney Area Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.