CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Medical City Alliance

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $156
  • Cash Discount Price: $5,641
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Medical City Alliance is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,641. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.
Cash / Self-Pay
$5,641

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $5,641 (5281%)
Insurance Median: $156 (146%)
Cash: $5,641 (5281% of Medicare)
Ins. Median: $156 (146% 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.

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 - $1,280 98%
Cigna $110 - $790 103%
Aetna $113 - $4,101 106%
Molina $115 - $117 108%
Humana $131 - $420 123%
Blue Cross Blue Shield $141 - $2,505 132%
Superior Health Plan $395 370%
Healthcare Highways $1,907 1785%
Healthsmart Preferred Care $4,231 3961%
Independent Medical Systems $5,641 5281%
National Healthcare Solutions $5,641 5281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3101 North Tarrant Parkway, Fort Worth, TX 76177
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals