CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: East Morgan County Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $378
  • Cash Discount Price: $483
  • vs. Medicare Baseline: 3.54x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at East Morgan County Hospital is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $483. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.54x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$483

Average discount available for prompt cash payment at this facility.

Insurance Median
$378

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: $483 (452%)
Insurance Median: $378 (354%)
Cash: $483 (452% of Medicare)
Ins. Median: $378 (354% 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 354% of the Medicare baseline (a markup of 254%). 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
Pinnacol Assurance Workers Comp $50 - $640 47%
Aetna $51 - $1,413 48%
Banner Health $51 - $653 48%
Blue Cross Blue Shield $51 - $1,611 48%
Clear Spring Health $51 - $653 48%
Healthspring Life & Health Insurance Company, Inc. $51 - $653 48%
Medica $51 - $1,265 48%
Medicare (plans) $51 - $653 48%
Triwest Healthcare Alliance Corp - Va Ccn $51 - $653 48%
UnitedHealthcare $51 - $1,413 48%
Longevity $53 - $673 50%
Humana $54 - $692 51%
Devoted Health Services $56 - $718 52%
Assist Health Group $61 - $784 57%
Denver Health Medical Plan $95 - $1,215 89%
Apostrophe, Inc. $107 - $1,367 100%
First Choice Health Network $107 - $1,367 100%
Hue Health, Inc $113 - $1,443 106%
Rocky Mountain Health Plans $113 - $1,443 106%
Multiplan $115 - $1,473 108%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals