CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,678
  • Cash Discount Price: $13,337
  • vs. Medicare Baseline: 15.71x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Houston Healthcare Kingwood is $1,678. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,337. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.71x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$13,337

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,678

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: $13,337 (12487%)
Insurance Median: $1,678 (1571%)
Cash: $13,337 (12487% of Medicare)
Ins. Median: $1,678 (1571% 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 1571% of the Medicare baseline (a markup of 1471%). 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
Texas Health Network $103 96%
Amerigroup $105 98%
Texas Childrens Health Plans $105 - $2,215 98%
Community Health Choice Mcd $107 100%
United $109 - $6,006 102%
Aetna $115 - $1,301 108%
Molina Healthcare $115 108%
Humana $131 - $1,832 123%
Blue Cross Blue Shield $243 - $4,671 228%
Superior Health Plan $295 - $801 276%
Cigna $1,635 - $2,106 1531%
Christus (Usfhp) $1,967 - $5,338 1842%
Coventry National First Health $2,621 - $7,114 2454%
Multiplan $3,689 - $11,344 3454%
Healthsmart Preferred Care $5,735 - $11,344 5369%
Fidelis Securecare Of Tx $6,002 - $6,006 5619%
Physicians Cooperative Of Texas $7,335 - $7,340 6867%
Rockport Workers Comp $7,335 - $7,340 6867%
Independent Medical System $8,002 - $8,008 7492%
National Healthcare Solutions $8,002 - $8,008 7492%
Southwest Medical $8,002 - $8,008 7492%
Coastal Comp $8,669 - $8,675 8116%
Physicians, Inc $11,336 - $11,344 10613%
Usa Managed Care $11,336 - $11,344 10613%
Affiliated Ppo $12,003 - $12,012 11238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals