CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: West Tennessee Healthcare Bolivar Hospital

Billing Code: 71250 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$262
about 2.4× the $107 Medicare rate · typically $115–$646
modeled estimate · not a bill or quote
What this hospital charges insurers
$188
Below the fair price — a good deal
about $74 under the fair price · 1.8× Medicare
Medicare pays $107 Fair price $262 This hospital $188 Cash price $119 Hospital's list price $395

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $188

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, chest (no contrast) is about $262 (about 2.4× the $107 Medicare rate). West Tennessee Healthcare Bolivar Hospital charges insurers about $188, or about $119 in cash — below the fair price — a good deal. Located in Bolivar, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $363 340%
Blue Cross Blue Shieldmajor $98 - $196 92%
Aetnamajor $273 - $794 256%
Cignamajor $98 92%
Oscar Health $650 609%
+ 2 smaller / regional plans $125 - $166
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 650 Nuckolls Road, Bolivar, TN 38008
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals