CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Cherokee Regional Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,239
  • Cash Discount Price: $1,115
  • vs. Medicare Baseline: 11.60x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Cherokee Regional Medical Center is $1,239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,115. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.60x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$1,115

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,239

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: $1,115 (1044%)
Insurance Median: $1,239 (1160%)
Cash: $1,115 (1044% of Medicare)
Ins. Median: $1,239 (1160% 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 1160% of the Medicare baseline (a markup of 1060%). 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
Health Partners $657 - $1,239 615%
Wellpoint $657 - $1,239 615%
Iowa Total Care $681 - $1,239 638%
Molina $681 - $1,239 638%
Admin Concepts $1,239 1160%
Aetna $1,239 1160%
American Republic $1,239 1160%
Apw $1,239 1160%
Auxiant $1,239 1160%
Avera $1,239 1160%
Bankers Life $1,239 1160%
Blue Cross Blue Shield $1,239 1160%
Champus $1,239 1160%
Cigna $1,239 1160%
Humana $1,239 1160%
Liability $1,239 1160%
Meridian $1,239 1160%
Meritain $1,239 1160%
Midlands $1,239 1160%
Mutual Of Omaha $1,239 1160%
Occunet $1,239 1160%
Physicians Mutual $1,239 1160%
Private Healthcare $1,239 1160%
Sanford $1,239 1160%
United American $1,239 1160%
UnitedHealthcare $1,239 1160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals