CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $181
Cash Discount Price: $3,186
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Univ. of Vermont - Fletcher Allen Health Care is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,186. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$3,186

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

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: $3,186 (2983%)

Insurance Median: $181 (169%)

Cash: $3,186 (2983% of Medicare)

Ins. Median: $181 (169% 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.

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
Blue Cross Blue Shield	$34 - $3,085	32%
UnitedHealthcare	$34 - $3,136	32%
Mvp	$41 - $2,504	38%
Aetna	$48 - $129	45%
Capital District Physicians' Health Plan	$48 - $2,386	45%
Humana	$48 - $892	45%
Martins Point	$48 - $129	45%
St. Regis	$48 - $129	45%
Veterans Affairs Community Care Network	$48 - $129	45%
Fidelis Care	$56 - $149	52%
Wellpath	$68 - $1,752	64%
Ebpa	$178 - $2,740	167%
Harvard Pilgrim	$185 - $2,549	173%
Magnacare	$185 - $2,549	173%
Coventry	$196 - $2,708	184%
Nppn	$208 - $2,867	195%
Cigna	$215 - $2,867	201%

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 $3,186.
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 Univ. of Vermont - Fletcher Allen Health Care 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.