CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Jefferson County Health Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $340
  • Cash Discount Price: $444
  • vs. Medicare Baseline: 3.18x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Jefferson County Health Center is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $444. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.18x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.
Cash / Self-Pay
$444

Average discount available for prompt cash payment at this facility.

Insurance Median
$340

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: $444 (416%)
Insurance Median: $340 (318%)
Cash: $444 (416% of Medicare)
Ins. Median: $340 (318% 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 318% of the Medicare baseline (a markup of 218%). 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
UnitedHealthcare $252 - $666 236%
Tricare $287 269%
Amerigroup Mcr Adv $296 277%
Humana $296 277%
Iowa Total Care Comm - All Other Plans $296 277%
Iowa Total Care Mcr $296 277%
Molina Mcr Adv $296 277%
Iowa Total Care Mcaid $311 291%
Molina Mcaid/Chip $311 291%
Medicaid / KanCare $317 297%
Aetna $363 - $666 340%
Medicare (plans) $363 340%
Wellmark Hmo $416 389%
Wellmark Indemnity/Ppo - All Other Plans $457 428%
Midlands New Product $607 568%
Coventry Commercial Hmo $629 589%
Coventry Commercial Ppo - All Other Plans $666 624%
Midlands Choice-All Other Plans $666 624%
Molina Marketplace - All Other Plans $740 693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 S Main, Fairfield, IA 52556
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals