CMS Price Transparency Data
CT scan, chest (no contrast)
Facility: Cannon Memorial Hospital
Billing Code: 71250 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71250
- Insurance Median: $125
- Cash Discount Price: $120
- vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Cannon Memorial Hospital is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.17x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$120
Average discount available for prompt cash payment at this facility.
Insurance Median
$125
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: $120 (112%)
Insurance Median: $125 (117%)
Cash: $120 (112% of Medicare)
Ins. Median: $125 (117% 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 |
|---|---|---|
| Employee Benefit Management Services [869] | $12 - $644 | 11% |
| Preferred Administrators [19] | $14 - $1,380 | 13% |
| Phcs [940] | $21 - $1,518 | 20% |
| Medicaid / KanCare | $38 - $2,300 | 36% |
| Humana | $40 - $1,656 | 37% |
| Select Health Of Sc [637] | $43 - $1,038 | 40% |
| Aetna | $47 - $1,306 | 44% |
| Blue Choice Health Plan [922] | $47 - $1,482 | 44% |
| Blue Cross Blue Shield | $47 - $2,185 | 44% |
| Medicare (plans) | $47 - $2,300 | 44% |
| UnitedHealthcare | $47 - $2,300 | 44% |
| Vaccn - Va Community Care Network [16] | $47 - $121 | 44% |
| Veterans Administration [633] | $47 - $121 | 44% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $48 - $126 | 45% |
| Absolute Total Care Mcr Plans [41] | $48 - $126 | 45% |
| Cigna | $48 - $2,300 | 45% |
| Devoted Health Alt Payer [9401] | $48 - $124 | 45% |
| Devoted Health [94] | $48 - $124 | 45% |
| Molina Dual Options Alt Payer [1501] | $48 - $125 | 45% |
| Molina Dual Options [15] | $48 - $125 | 45% |
| Champva [604] | $49 - $127 | 46% |
| First Choice Vip Careplus Alt Payer [3301] | $49 - $128 | 46% |
| First Choice Vip [33] | $49 - $128 | 46% |
| Nhc Advantage Alt Payer [6101] | $49 - $128 | 46% |
| Nhc Advantage [61] | $49 - $128 | 46% |
| Tricare | $49 - $127 | 46% |
| Absolute Total Care [58] | $50 - $1,090 | 47% |
| Bright Health Alt Payer [1001] | $55 - $145 | 51% |
| Ambetter / Centene | $67 - $174 | 63% |
| First Choice Next [96] | $68 - $176 | 64% |
| Geha [302] | $68 - $1,226 | 64% |
| Golden Rule Ins Co [584] | $68 - $1,226 | 64% |
| Molina Marketplace [97] | $68 - $176 | 64% |
| Bright Health [11] | $75 - $194 | 70% |
| Mail Handlers Benefit Plan [327] | $75 - $1,306 | 70% |
| Rural Carrier Benefit Plan [406] | $75 - $1,306 | 70% |
| Workers Compensation [622] | $76 - $197 | 71% |
| Edison Health Solutions [95] | $82 - $213 | 77% |
| Healthscope [98] | $82 - $213 | 77% |
| Medcost [206] | $83 - $2,070 | 78% |
| Nalc Health Benefit Plan [291] | $83 - $1,368 | 78% |
| Coventry Health [245] | $87 - $1,656 | 81% |
| Other Hospital Payers [1991] | $104 - $2,300 | 97% |
| Planned Administrators [886] | $118 - $1,376 | 110% |
| Thomas Cooper & Company [315] | $134 - $1,376 | 125% |
| American Continental Ins [778] | $139 - $2,300 | 130% |
| American Republic Life Ins [722] | $139 - $2,300 | 130% |
| Business Office [6000] | $139 - $2,300 | 130% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $139 - $2,300 | 130% |
| First Health [946] | $139 - $2,300 | 130% |
| Guarantee Trust Life Insurance [236] | $139 - $2,300 | 130% |
| Home Health Infusion Payer [6001] | $139 - $2,300 | 130% |
| Manhattan Life Ins Co [932] | $139 - $2,300 | 130% |
| Miscellaneous Commercial [1] | $139 - $2,300 | 130% |
| New Era Life Ins Co [437] | $139 - $2,300 | 130% |
| Non-Contracted [22] | $139 - $2,300 | 130% |
| Physicians Mutual [773] | $139 - $2,300 | 130% |
| Reference Based Pricing/Limited Plan [21] | $139 - $2,300 | 130% |
| State Farm Ins Co [373] | $139 - $2,300 | 130% |
| Sterling Investors Life [244] | $139 - $2,300 | 130% |
| Supermed/Med Mutual Of Ohio [539] | $139 - $2,300 | 130% |
| United American Ins Co [277] | $139 - $2,300 | 130% |