CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Gunnison Valley Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $325
Cash Discount Price: $883
vs. Medicare Baseline: 3.04x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Gunnison Valley Hospital is $325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $883. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.04x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$883

Average discount available for prompt cash payment at this facility.

Insurance Median

$325

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: $883 (827%)

Insurance Median: $325 (304%)

Cash: $883 (827% of Medicare)

Ins. Median: $325 (304% 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 304% of the Medicare baseline (a markup of 204%). 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
Cigna	$45 - $1,703	42%
Medicare (plans)	$50 - $852	47%
Aetna	$72 - $1,668	67%
Apostrophe-All Plans	$82 - $1,564	77%
Medicaid / KanCare	$145 - $148	136%
Gunnison County Sheriff Op & Profee Only	$174 - $892	163%
Ebms Hdhp	$203 - $1,043	190%
Tetwp Op & Profee Only-All Plans	$203 - $1,043	190%
U Of Co Transplant-All Plans	$203 - $1,043	190%
Ebms Ppo Plan-All Other Plans	$237 - $1,217	222%
Gunnison County Employees-All Other Plans	$271 - $1,390	254%
Scottish Rites-All Plans	$271 - $1,390	254%
Elap Employers-All Plans	$288 - $1,477	270%
Blue Cross Blue Shield	$297 - $1,524	278%
Multiplan-All Plans	$305 - $1,616	286%
Rocky Mountain Health-All Plans	$322 - $1,651	301%
UnitedHealthcare	$322 - $1,651	301%
Cofinity-All Plans	$325 - $1,668	304%
Gunnison County Coroner Op Only	$892	835%

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 $883.
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 Gunnison Valley 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.