CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mercyone Oelwein Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,038
  • Cash Discount Price: $1,442
  • vs. Medicare Baseline: 19.08x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mercyone Oelwein Medical Center is $2,038. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,442. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.08x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$1,442

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,038

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: $1,442 (1350%)
Insurance Median: $2,038 (1908%)
Cash: $1,442 (1350% of Medicare)
Ins. Median: $2,038 (1908% 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 1908% of the Medicare baseline (a markup of 1808%). 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
Medicare (plans) $848 - $945 794%
Iowa Total Care $860 805%
Medicaid / KanCare $872 - $877 816%
Blue Cross Blue Shield $900 843%
UnitedHealthcare $964 - $1,575 903%
Aetna $1,046 - $2,038 979%
Amish Hospital Aid $1,209 1132%
Centivo $1,364 1277%
Ambetter / Centene $1,528 1431%
Geha $1,575 1475%
Health Choices $1,632 1528%
Medical Associates $1,632 1528%
Claimdoc $1,828 1711%
Nova $1,828 1711%
1199 National Benefit Fund $2,038 1908%
Allied Benefit Systems $2,038 1908%
Asr Health Benefits $2,038 1908%
Christian Brother Services $2,038 1908%
Coventry $2,038 1908%
First Health $2,038 1908%
Lucent Health $2,038 1908%
Luminare Health $2,038 1908%
Medical Mutual $2,038 1908%
Meritain $2,038 1908%
Trustmark Small Business Benefits $2,038 1908%
Webtpa $2,038 1908%
Health Partners $2,134 1998%
Multiplan $2,151 2014%
Auxiant $2,174 2035%
Cigna $2,174 2035%
Medica $2,174 2035%
Midlands $2,174 2035%
Midlands Choice $2,174 2035%
Crime Victim Assistance $2,218 2077%
Iowa Dept Of Public Health $2,218 2077%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Eighth Avenue Se, Oelwein, IA 50662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals