CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,099
Cash Discount Price: Unavailable
vs. Medicare Baseline: 19.65x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at University of Texas M. D. Anderson Cancer Center is $2,099. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.65x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,099

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%)

Insurance Median: $2,099 (1965%)

Ins. Median: $2,099 (1965% 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 1965% of the Medicare baseline (a markup of 1865%). 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
Texaschildrens	$37 - $1,319	35%
Tricare	$43 - $2,248	40%
Vacare	$43 - $1,319	40%
Medicare (plans)	$60 - $1,319	56%
Blue Cross Blue Shield	$78 - $2,159	73%
UnitedHealthcare	$86 - $2,248	81%
Aetna	$114 - $2,248	107%
Cigna	$117 - $2,248	110%
Humana	$271 - $2,308	254%
Ontarioministriesofhealth	$334 - $2,219	313%
Beijingst.Lucia	$339 - $2,248	317%
Embassyofqatar	$339 - $2,248	317%
Memorialhermannhealth	$339 - $2,248	317%
Emergingtherapysolutions_Cancercare	$362 - $2,398	339%
Interlink_Cancercare	$362 - $2,398	339%
Saudiarmedforces	$362 - $2,398	339%
Uae_Medical	$362 - $2,398	339%
Uaepoliceattache	$362 - $2,398	339%
Healthsmart	$384 - $2,548	360%
Vantage	$384 - $2,548	360%
Multiplan	$395 - $2,578	370%
Phcs	$395 - $2,578	370%
Emergingtherapysolutions	$2,248 - $2,398	2105%
Interlink	$2,248 - $2,548	2105%

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 $X.
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 University of Texas M. D. Anderson Cancer 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.