CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Medical City Fort Worth

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $560
  • Cash Discount Price: $8,002
  • vs. Medicare Baseline: 5.24x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Medical City Fort Worth is $560. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,002. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.24x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$8,002

Average discount available for prompt cash payment at this facility.

Insurance Median
$560

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: $8,002 (7492%)
Insurance Median: $560 (524%)
Cash: $8,002 (7492% of Medicare)
Ins. Median: $560 (524% 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 524% of the Medicare baseline (a markup of 424%). 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 - $1,504 98%
Cigna $110 - $4,241 103%
Healthspring Life $110 103%
Aetna $113 - $4,713 106%
Molina $115 - $117 108%
Humana $131 - $420 123%
Blue Cross Blue Shield $133 - $3,553 125%
Imaging Providers Of Texas $350 328%
Superior Health Plan $560 524%
Unicare $1,760 - $8,002 1648%
Healthcare Highways $2,705 2533%
City Of Mckinney $3,601 3371%
Fidelis Securecare $3,601 3371%
Emerging Therapy Solutions $4,001 - $5,762 3746%
National Choicecare $4,001 3746%
Pc Texas Partners $4,401 4120%
Physicians Coop Of Tx $4,401 4120%
Rockport Health Group $4,401 4120%
Averde Health, Inc $4,641 4345%
Coastal Comp Health Networks $5,602 5245%
Mega Life $5,602 5245%
Healthsmart Preferred Care $5,682 5320%
Lewisville Isd/Dls Consulting $6,002 5619%
Usa Managed Care $6,402 5994%
Usc Health Services $6,402 5994%
Galaxy Health Network $6,802 6368%
UnitedHealthcare $6,882 6443%
Independent Medical Systems $8,002 7492%
National Healthcare Solutions $8,002 7492%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals