CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Tristar Southern Hills Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,174
Cash Discount Price: $6,046
vs. Medicare Baseline: 10.99x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Tristar Southern Hills Medical Center is $1,174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,046. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.99x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.

Cash / Self-Pay

$6,046

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,174

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: $6,046 (5661%)

Insurance Median: $1,174 (1099%)

Cash: $6,046 (5661% of Medicare)

Ins. Median: $1,174 (1099% 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 1099% of the Medicare baseline (a markup of 999%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
United	$155 - $2,825	145%
Humana	$201 - $1,570	188%
Blue Cross Blue Shield	$266 - $444	249%
Aetna	$459 - $3,139	430%
Kentucky Labor Cabinet	$1,070 - $1,156	1002%
Apex Health	$1,105 - $1,193	1035%
Nhc Advantage, Inc.	$1,105 - $1,193	1035%
Pruitt Health (Allyalign)	$1,105 - $1,193	1035%
Cigna	$1,895 - $2,047	1774%
Bgfh Singlesource	$2,907 - $5,337	2722%
Multiplan	$3,372 - $3,641	3157%
Employers Health Network	$4,069 - $4,395	3810%
Beech Street	$5,116 - $5,525	4790%
Prime Health	$5,116 - $5,525	4790%

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 $6,046.
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 Tristar Southern Hills Medical Center 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.