CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mercyone Centerville Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,078
  • Cash Discount Price: $2,218
  • vs. Medicare Baseline: 19.46x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mercyone Centerville Medical Center is $2,078. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,218. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.46x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$2,218

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,078

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: $2,218 (2077%)
Insurance Median: $2,078 (1946%)
Cash: $2,218 (2077% of Medicare)
Ins. Median: $2,078 (1946% 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 1946% of the Medicare baseline (a markup of 1846%). 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) $609 - $668 570%
Iowa Total Care $611 572%
Medicaid / KanCare $620 - $623 580%
Blue Cross Blue Shield $637 596%
Aetna $643 - $2,078 602%
UnitedHealthcare $682 - $2,218 639%
Amish Hospital Aid $855 800%
Ambetter / Centene $1,081 1012%
Claimdoc $1,293 1211%
Nova $1,293 1211%
Geha $1,597 1495%
Health Choices $1,695 1587%
Medical Associates $1,695 1587%
1199 National Benefit Fund $2,078 1946%
Allied Benefit Systems $2,078 1946%
Asr Health Benefits $2,078 1946%
Christian Brother Services $2,078 1946%
Coventry $2,078 1946%
First Health $2,078 1946%
Lucent Health $2,078 1946%
Luminare Health $2,078 1946%
Medical Mutual $2,078 1946%
Meritain $2,078 1946%
Trustmark Small Business Benefits $2,078 1946%
Webtpa $2,078 1946%
Health Partners $2,134 1998%
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: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals