CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Childrens Hospital of Wisconsin

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,246
  • Cash Discount Price: $1,460
  • vs. Medicare Baseline: 21.03x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Childrens Hospital of Wisconsin is $2,246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,460. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.03x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$1,460

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,246

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: $1,460 (1367%)
Insurance Median: $2,246 (2103%)
Cash: $1,460 (1367% of Medicare)
Ins. Median: $2,246 (2103% 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 2103% of the Medicare baseline (a markup of 2003%). 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
Froedtert Health $1,858 - $2,256 1740%
Medical College Of Wisconsin $1,858 1740%
Network Health Plan $1,890 1769%
UnitedHealthcare $1,951 - $2,020 1827%
Aspirus Health Plan $1,991 1864%
Common Ground Healthcare Cooperative $1,991 - $2,256 1864%
Trilogy Health Solutions $1,991 - $2,256 1864%
Wps Health Plan $2,017 - $2,389 1888%
Advocate Aurora Healthcare $2,044 1914%
Blue Cross Blue Shield $2,071 - $2,522 1939%
Centivo $2,071 1939%
Health Partners $2,071 - $2,336 1939%
Employer Health Care Alliance Cooperative $2,084 1951%
Dean Health Plan $2,124 1989%
Group Health Cooperative Of Eau Claire $2,124 1989%
Oan Llc $2,124 1989%
Security Health Plan $2,203 2063%
Health Payment Systems $2,246 2103%
Praire States $2,256 2112%
Quartz Health Insurance $2,256 2112%
Sheboygan Employer'S Health Network $2,256 2112%
Mayo Clinic Health Solutions $2,309 2162%
Aetna $2,336 - $2,363 2187%
Bellin Thedacare $2,389 2237%
Cigna $2,389 2237%
Group Health Cooperative Of South Central Wisconsin $2,389 2237%
Prevea Health Network $2,389 2237%
Multiplan $2,416 - $2,522 2262%
Coventry Health Care $2,522 2361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens