CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Preston Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,416
  • Cash Discount Price: $973
  • vs. Medicare Baseline: 13.26x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Preston Memorial Hospital is $1,416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $973. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.26x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.
Cash / Self-Pay
$973

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,416

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: $973 (911%)
Insurance Median: $1,416 (1326%)
Cash: $973 (911% of Medicare)
Ins. Median: $1,416 (1326% 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 1326% of the Medicare baseline (a markup of 1226%). 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
Unicare $103 96%
Advantra $1,167 1093%
Aetna $1,167 - $1,751 1093%
Humana $1,167 1093%
Medicare (plans) $1,167 - $1,576 1093%
Uhc_Va $1,167 1093%
Upmc $1,226 1148%
Medicaid / KanCare $1,265 - $1,328 1184%
Blue_Cross_Highmark_Aca $1,416 1326%
Blue_Cross_Highmark_Pos $1,571 1471%
Blue_Cross_Highmark_Ppo $1,571 1471%
Blue_Cross_Highmark_Traditional $1,724 1614%
UnitedHealthcare $1,751 1639%
Cigna $1,790 1676%
Geha $1,848 1730%
4_Most $1,887 1767%
Health $1,887 1767%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 Memorial Drive, Kingwood, WV 26537
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals