CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Medical City North Hills

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $436
  • Cash Discount Price: $5,365
  • vs. Medicare Baseline: 4.08x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Medical City North Hills is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,365. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.08x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$5,365

Average discount available for prompt cash payment at this facility.

Insurance Median
$436

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: $5,365 (5023%)
Insurance Median: $436 (408%)
Cash: $5,365 (5023% of Medicare)
Ins. Median: $436 (408% 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 408% of the Medicare baseline (a markup of 308%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup $105 98%
Cook Childrens Health Plan $105 98%
Parkland Community Health Plan $105 98%
United $105 - $1,154 98%
Cigna $110 - $4,292 103%
Aetna $113 - $3,901 106%
Molina $115 - $117 108%
Humana $131 - $420 123%
Blue Cross Blue Shield $133 - $2,382 125%
Imaging Providers Of Texas $350 328%
Superior Health Plan $376 352%
Unicare $1,127 - $5,365 1055%
Healthcare Highways $1,814 1698%
City Of Mckinney $2,414 2260%
Fidelis Securecare $2,414 2260%
National Choicecare $2,683 2512%
Pc Texas Partners $2,951 2763%
Physicians Coop Of Tx $2,951 2763%
Rockport Health Group $2,951 2763%
Averde Health, Inc $3,112 2914%
Magellan Behavior Health $3,219 3014%
Coastal Comp Health Networks $3,756 3517%
Mega Life $3,756 3517%
Healthsmart Preferred Care $4,024 3767%
Lewisville Isd/Dls Consulting $4,024 3767%
Usa Managed Care $4,292 4018%
Usc Health Services $4,292 4018%
Galaxy Health Network $4,561 4270%
Independent Medical Systems $5,365 5023%
National Healthcare Solutions $5,365 5023%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals