CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Texas Childrens Hospital North Austin Campus

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,039
Cash Discount Price: $2,168
vs. Medicare Baseline: 19.09x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Texas Childrens Hospital North Austin Campus is $2,039. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,168. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.09x the Medicare baseline. Located in 9835 North Lake Creek Parkway Bldg A, Austin, TX.

Cash / Self-Pay

$2,168

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,039

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: $2,168 (2030%)

Insurance Median: $2,039 (1909%)

Cash: $2,168 (2030% of Medicare)

Ins. Median: $2,039 (1909% 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 1909% of the Medicare baseline (a markup of 1809%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Chip	$105 - $110	98%
Driscoll Children'S Health Plan Mcd	$115	108%
First Care Health Plan	$874 - $2,071	818%
UnitedHealthcare	$874 - $2,071	818%
Molina Mcd	$971	909%
Blue Cross Blue Shield	$1,133 - $2,039	1061%
Community Health Choice	$1,142 - $2,071	1069%
Community First Health Plan Mcd	$1,294	1211%
Cook Children'S Health Plan	$1,294	1211%
Cigna	$1,845 - $2,071	1727%
Aetna	$2,071	1939%
Kelseycare	$2,103	1969%
Healthsmart	$2,265	2121%
Evolutions Healthcare	$2,427	2272%
First Health	$2,848 - $3,074	2666%
Multiplan	$2,912	2726%
Galaxy Health Network	$3,074	2878%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,168.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Childrens Hospital North Austin Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.