CMS Price Transparency Data
CT scan, chest (no contrast)
Facility: Story County Hospital
Billing Code: 71250 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$691
about 6.5× the $107 Medicare rate · typically $147–$2,199
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $691 Cash price $1,628 Hospital's list price $2,035
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $1,547 - $2,035 | 1448% |
| Blue Cross Blue Shieldmajor | $1,770 - $2,035 | 1657% |
| Aetnamajor | $1,974 - $2,035 | 1848% |
| Humanamajor | $2,035 | 1905% |
| HealthPartners | $1,241 - $2,035 | 1162% |
| Molina | $2,035 | 1905% |
| + 1 smaller / regional plan | $2,035 |
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Other Procedures at Story County Hospital
Compare: CT scan, chest (no contrast) at other IA hospitals
- Mahaska Health Partnership · Oskaloosa $47
- Mercyone Des Moines Medical Center · Des Moines $56
- Veterans Memorial Hospital · Waukon $56
- Winnmed · Decorah $79
- Clarke County Hospital · Osceola $86
- Mary Greeley Medical Center · Ames $102
- Southeast Iowa Regional Medical Center · West Burlington $104
- Iowa Specialty Hospital - Belmond · Belmond $105
Insurance negotiated median for the same procedure, sorted lowest first.