CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Haywood County Community Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $57
Cash Discount Price: $103
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Haywood County Community Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.53x the Medicare baseline. Located in 2545 North Washington Avenue, Brownsville, TN.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $103 (96%)

Insurance Median: $57 (53%)

Cash: $103 (96% of Medicare)

Ins. Median: $57 (53% 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
UnitedHealthcare	$29 - $368	27%
Bluecareplustennessee(D-Snp)	$38 - $92	36%
Healthspringlife&Healthinsco,Inc.(Il)	$38 - $46	36%
Blue Cross Blue Shield	$40 - $317	37%
Harmonyhealthplanofillinois,Inc.	$40 - $47	37%
Cigna	$44 - $119	41%
Vshpbluecareriskeast/West	$45 - $248	42%
Wellpointtennessee,Inc.	$47 - $215	44%
Ambetter / Centene	$89 - $174	83%
Humana	$97	91%
Aetna	$98	92%

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 $103.
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 Haywood County Community 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.