CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: St David's Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,072
  • Cash Discount Price: $2,966
  • vs. Medicare Baseline: 10.04x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at St David's Medical Center is $1,072. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,966. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.04x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$2,966

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,072

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: $2,966 (2777%)
Insurance Median: $1,072 (1004%)
Cash: $2,966 (2777% of Medicare)
Ins. Median: $1,072 (1004% 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 1004% of the Medicare baseline (a markup of 904%). 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
Superior Health Plan $75 - $688 70%
St David’S Hospice $105 98%
United $109 - $1,820 102%
Blue Cross Blue Shield $110 - $1,290 103%
Molina Healthcare $115 108%
Humana $131 123%
Sendero $131 123%
Aetna $132 - $2,612 124%
Amerigroup $218 204%
Imo Med - Select Network $447 - $1,214 419%
Texas Healthcare Foundation Heb $552 - $1,497 517%
Texas Workforce Commission $581 - $1,578 544%
Averde Health $671 - $1,820 628%
Comanche County $746 - $2,022 698%
National Choicecare $746 - $2,022 698%
Healthsmart Preferred Care $820 - $3,236 768%
Independent Medical Systems $820 - $2,225 768%
Physicians Cooperative Of Texas $820 - $2,225 768%
Prime Health $895 - $2,427 838%
First Health $939 - $2,908 879%
Coastal Comp Health Networks $969 - $2,629 907%
National Health Care $969 - $2,629 907%
Texas Municipal League $1,044 - $2,832 977%
Medcorp Southwest $1,118 - $3,034 1047%
Rockport Healthcare Group $1,193 - $3,640 1117%
Bce Emergis Corporation $1,342 - $3,640 1256%
Beech Street $1,342 - $3,640 1256%
Medical Control Network Solutions $1,342 - $3,640 1256%
Multiplan $1,342 - $3,640 1256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals