CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Sartori Memorial Hospital, Inc

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $161
  • Cash Discount Price: $1,035
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Sartori Memorial Hospital, Inc is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,035. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.51x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$1,035

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $1,035 (969%)
Insurance Median: $161 (151%)
Cash: $1,035 (969% of Medicare)
Ins. Median: $161 (151% 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.

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
Aetna $98 - $588 92%
Medicare (plans) $98 - $103 92%
Blue Cross Blue Shield $99 - $107 93%
UnitedHealthcare $100 - $1,593 94%
Iowa Total Care $105 98%
Medicaid / KanCare $106 99%
Bcn Domestic $107 100%
Blue Benefit Administrators Of Massachusetts $107 100%
Blue Care Network $107 100%
Blue Distinction Transplant $107 100%
Blue Shield - Ca $107 100%
Blue Shield - Id (Regence) $107 100%
Blue Shield - Ny Highmark Northeastern $107 100%
Blue Shield - Ny Highmark Western $107 100%
Blue Shield - Pa (Highmark) $107 100%
Blue Shield - Wa (Regence) $107 100%
Kaiser Domestic $107 100%
Pre-Employment $107 100%
Wc Domestic $107 100%
Amish Hospital Aid $134 125%
Oscar $154 144%
Centivo $167 156%
Ambetter / Centene $169 158%
Claimdoc $202 189%
Nova $202 189%
Geha $240 225%
Health Choices $374 350%
Medical Associates $374 350%
Health Partners $521 488%
Allied Benefit Systems $588 551%
Asr Health Benefits $588 551%
Coventry $588 551%
First Health $588 551%
Lucent Health $588 551%
Luminare Health $588 551%
Medical Mutual $588 551%
Meritain $588 551%
Webtpa $588 551%
Auxiant $1,131 1059%
Cigna $1,131 1059%
Medica $1,131 1059%
Midlands $1,131 1059%
Midlands Choice $1,131 1059%
Iowa Dept Of Public Health $1,593 1491%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals