CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: De Tar Hospital Navarro

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $184
  • Cash Discount Price: $3,509
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at De Tar Hospital Navarro is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,509. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.72x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$3,509

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $3,509 (3285%)
Insurance Median: $184 (172%)
Cash: $3,509 (3285% of Medicare)
Ins. Median: $184 (172% 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.

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
Tricare $100 - $105 94%
Veterans Eval Services $100 94%
Humana $103 96%
Medicare (plans) $103 96%
UnitedHealthcare $103 - $3,922 96%
Blue Cross Blue Shield $105 - $2,876 98%
Department Of Veterans Affairs $105 98%
Medicaid / KanCare $105 - $344 98%
Node Hospice Non Par Agree $105 98%
Node Triwest $105 98%
Node Va $105 98%
Scott & White $105 98%
Aetna $106 - $7,844 99%
American Health Mcr Adv $107 100%
Provider Partners Health Plan $108 101%
Node Amerigroup Mcr Adv $109 102%
Node Procare Mcr Adv $109 102%
Superior $109 - $247 102%
Industrial Rehab $121 113%
Node Us Dept Of Labor $131 123%
Node Brookshire Brothers $184 172%
Node Brookshire Brothers Work Comp Tx $195 183%
Work Comp $210 197%
Elap $231 216%
Amerigroup $247 231%
Dars $3,165 2963%
Tx Workforce Commission $3,165 2963%
Cigna $3,275 - $5,917 3066%
First Health $5,056 4734%
Healthsmart $7,569 - $9,633 7086%
Multiplan $8,945 - $11,009 8375%
Medcorp Southwest Inc $9,633 9019%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals