CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Beloit Health System

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,971
Cash Discount Price: $952
vs. Medicare Baseline: 18.45x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Beloit Health System is $1,971. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $952. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.45x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$952

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,971

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: $952 (891%)

Insurance Median: $1,971 (1845%)

Cash: $952 (891% of Medicare)

Ins. Median: $1,971 (1845% 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 1845% of the Medicare baseline (a markup of 1745%). 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
Aetna	$83 - $3,345	78%
Blue Cross Blue Shield	$83 - $3,333	78%
Dean Health	$83 - $1,971	78%
Independent Care Health Plan	$83 - $132	78%
Quartz	$83 - $2,289	78%
UnitedHealthcare	$83 - $2,148	78%
Cook Children'S Health Plan (Cchp)	$110 - $1,761	103%
Humana	$110 - $2,641	103%
Managed Health Services	$110	103%
Molina Healthcare	$110	103%
Wellcare	$110	103%
Naphcare	$124 - $2,113	116%
The Alliance	$314 - $502	294%
Wps	$413 - $2,608	387%
Wea Trust	$1,618 - $1,937	1515%
Multiplan	$2,353 - $2,817	2203%
Health Eos	$2,618 - $3,205	2451%
Cigna	$2,706 - $3,345	2533%
Hfn	$2,706 - $3,345	2533%
Preferred Network Access	$2,706 - $3,345	2533%

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 $952.
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 Beloit Health System 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.