CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Houston Healthcare West

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,055
  • Cash Discount Price: $17,587
  • vs. Medicare Baseline: 9.88x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Houston Healthcare West is $1,055. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,587. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.88x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$17,587

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,055

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: $17,587 (16466%)
Insurance Median: $1,055 (988%)
Cash: $17,587 (16466% of Medicare)
Ins. Median: $1,055 (988% 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 988% of the Medicare baseline (a markup of 888%). 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 $24 - $1,067 22%
Texas Childrens Health Plans $67 - $2,951 63%
United $68 - $8,000 64%
Texas Workforce Commission $97 - $4,266 91%
Texas Health Network $103 96%
Amerigroup $105 98%
Community Health Choice Mcd $107 100%
Aetna $115 - $1,301 108%
Molina Healthcare $115 108%
Humana $131 - $1,832 123%
Blue Cross Blue Shield $142 - $6,222 133%
Christus (Usfhp) $162 - $7,111 152%
Healthsmart Preferred Care $175 - $15,110 164%
Fidelis Securecare Of Tx $183 - $8,000 171%
Coventry National First Health $216 - $9,475 202%
Physicians Cooperative Of Texas $223 - $9,777 209%
Rockport Workers Comp $223 - $9,777 209%
Independent Medical System $244 - $10,666 228%
National Healthcare Solutions $244 - $10,666 228%
Southwest Medical $244 - $10,666 228%
Triumph $244 - $10,666 228%
Coastal Comp $264 - $11,555 247%
Multiplan $304 - $15,110 285%
Cigna $325 - $14,222 304%
Physicians, Inc $345 - $15,110 323%
Affiliated Ppo $365 - $15,999 342%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals