CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $639
  • Cash Discount Price: $2,797
  • vs. Medicare Baseline: 5.98x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at CHI St Lukes Lakeside Hospital is $639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,797. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.98x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.
Cash / Self-Pay
$2,797

Average discount available for prompt cash payment at this facility.

Insurance Median
$639

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: $2,797 (2619%)
Insurance Median: $639 (598%)
Cash: $2,797 (2619% of Medicare)
Ins. Median: $639 (598% 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 598% of the Medicare baseline (a markup of 498%). 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
Renaissance $77 72%
Wellpoint $105 - $160 98%
Blue Cross Blue Shield $107 - $488 100%
Cigna $107 - $5,594 100%
Humana $107 - $5,194 100%
Kelsey $107 100%
Selectcare $107 100%
UnitedHealthcare $107 - $6,602 100%
Aetna $109 - $5,434 102%
United $109 - $3,756 102%
Amerivantage $110 103%
Devoted $114 107%
Scanhealth $114 107%
Kindred $117 110%
Chc $123 - $4,395 115%
Kelseycare $144 - $1,155 135%
Ambetter / Centene $160 150%
Community Health Choice $160 150%
Harris Health $160 150%
Bright Health $182 170%
Nx Health $346 324%
Tchp $639 - $857 598%
Tchpchip $2,797 - $3,516 2619%
Texastruechoice $4,395 4115%
Coventry $5,194 4863%
First Health $5,194 4863%
Healthsmart $5,594 5237%
Interlink $5,594 5237%
Multiplan $5,993 5611%
USA Health Network $6,792 6359%
Mhealth Network $7,991 7482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17400 St Lukes Way, The Woodlands, TX 77384
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals