CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Methodist Hospital Stone Oak

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $398
  • Cash Discount Price: $6,686
  • vs. Medicare Baseline: 3.73x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Methodist Hospital Stone Oak is $398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,686. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.73x the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.
Cash / Self-Pay
$6,686

Average discount available for prompt cash payment at this facility.

Insurance Median
$398

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: $6,686 (6260%)
Insurance Median: $398 (373%)
Cash: $6,686 (6260% of Medicare)
Ins. Median: $398 (373% 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 373% of the Medicare baseline (a markup of 273%). 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
Community First Health Plans $105 - $1,805 98%
United $105 - $3,009 98%
Usa Managed Care Chip $105 98%
Amerigroup $107 - $936 100%
Aetna $115 - $3,343 108%
Molina Healthcare $115 108%
Humana $131 123%
Blue Cross Blue Shield $180 - $1,972 169%
Superior Health $334 313%
Imperial Insurance $1,270 1189%
Fidelis Securecare $3,009 2817%
National Choicecare $3,343 3130%
Texas Healthcare Foundation Heb $3,343 3130%
Tx Healthcare Foundation $3,343 3130%
Healthsmart Preferred Care $3,677 3443%
Independent Medical Systems $3,677 3443%
Physician Cooperative Of Texas $3,677 3443%
Haa Preferred Partners $4,012 3756%
Coastal Comp Health Networks $4,346 4069%
National Healthcare Solutions $4,346 4069%
Tml Intergovernmental Ebp $4,680 4382%
Multiplan $5,015 - $5,683 4695%
Triwest Health Alliance $5,015 4695%
Usa Managed Care $5,015 4695%
Blue Bell $5,349 5008%
Directcare America $5,349 5008%
Managed Healthcare $5,683 5321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1139 E Sonterra Blvd,, San Antonio, TX 78258
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals