CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Vidant Chowan Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,933
Cash Discount Price: $1,710
vs. Medicare Baseline: 18.10x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Vidant Chowan Hospital is $1,933. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,710. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.10x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$1,710

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,933

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: $1,710 (1601%)

Insurance Median: $1,933 (1810%)

Cash: $1,710 (1601% of Medicare)

Ins. Median: $1,933 (1810% 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 1810% of the Medicare baseline (a markup of 1710%). 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
Blue Cross Blue Shield	$917 - $1,853	859%
Carolina Complete Health [1317]	$926	867%
Wellcare [1320]	$930	871%
Amerihealth McAid Adv [1316]	$935	875%
Humana	$946	886%
UnitedHealthcare	$1,029 - $1,881	963%
Liberty Advantage [1313]	$1,059	991%
Aetna	$1,090 - $2,497	1021%
Longevity Health [1411]	$1,310	1226%
Nc Dept of Public Safety [1095]	$1,710	1601%
Medcost [1067]	$1,933 - $2,036	1810%
Cigna	$2,595 - $2,900	2430%
Multiplan [1031]	$2,900	2715%

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 $1,710.
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 Vidant Chowan Hospital 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.