CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Humboldt County Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $892
Cash Discount Price: $1,032
vs. Medicare Baseline: 8.35x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Humboldt County Memorial Hospital is $892. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,032. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.35x the Medicare baseline. Located in 1000 North 15Th Street, Humboldt, IA.

Cash / Self-Pay

$1,032

Average discount available for prompt cash payment at this facility.

Insurance Median

$892

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: $1,032 (966%)

Insurance Median: $892 (835%)

Cash: $1,032 (966% of Medicare)

Ins. Median: $892 (835% 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 835% of the Medicare baseline (a markup of 735%). 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
Great West	$803	752%
Aetna	$814 - $860	762%
Health Partners	$814 - $917	762%
Physicians Mutual	$825	772%
Cigna	$860	805%
Phcs	$860	805%
Blue Cross Blue Shield	$892 - $997	835%
Humana	$892 - $975	835%
Iowa Health	$892	835%
Molina	$892 - $1,146	835%
Deanhealth	$917	859%
UnitedHealthcare	$1,101	1031%
Wellpoint	$1,101 - $1,146	1031%
Iowa Total Care	$1,146	1073%

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 $1,032.
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 Humboldt County Memorial 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.