CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Guttenberg Municipal Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,639
  • Cash Discount Price: $1,748
  • vs. Medicare Baseline: 15.35x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Guttenberg Municipal Hospital is $1,639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,748. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.35x the Medicare baseline. Located in 200 Main Street, Guttenberg, IA.
Cash / Self-Pay
$1,748

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,639

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: $1,748 (1637%)
Insurance Median: $1,639 (1535%)
Cash: $1,748 (1637% of Medicare)
Ins. Median: $1,639 (1535% 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 1535% of the Medicare baseline (a markup of 1435%). 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
Aetna $1,136 - $2,185 1064%
Medical Associates $1,136 - $2,185 1064%
Wellmark $1,136 - $2,185 1064%
Molina $1,188 - $2,185 1112%
Humana $1,205 - $2,185 1128%
Health Partners $1,530 1432%
Midlands Choice $1,530 1432%
Quartz $1,748 1637%
Health Choices $1,879 1759%
UnitedHealthcare $2,010 - $2,185 1882%
Iowa Total Care $2,185 2046%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Main Street, Guttenberg, IA 52052
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals