CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: St Anthony Regional Hospital & Nursing Home

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $927
Cash Discount Price: $2,262
vs. Medicare Baseline: 8.68x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at St Anthony Regional Hospital & Nursing Home is $927. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,262. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.68x the Medicare baseline. Located in 311 South Clark Street, Carroll, IA.

Cash / Self-Pay

$2,262

Average discount available for prompt cash payment at this facility.

Insurance Median

$927

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: $2,262 (2118%)

Insurance Median: $927 (868%)

Cash: $2,262 (2118% of Medicare)

Ins. Median: $927 (868% 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 868% of the Medicare baseline (a markup of 768%). 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
Wellmark Hmo	$118	110%
Wellmark Ppo-All Other Plans	$130	122%
Aetna	$814 - $2,036	762%
Humana	$814 - $1,923	762%
Medica Mcr - All Plans	$814	762%
UnitedHealthcare	$814 - $1,823	762%
Va Ccn - All Plans	$814	762%
Wellpoint Mcr Adv	$814	762%
Ia Total Care Mcr	$839	786%
Ia Total Care Mcaid	$927	868%
Wellpoint Mcaid - All Other Plans	$927	868%
Molina Mcaid - All Plans	$946	886%
Ia Total Care Comm - All Other Plans	$1,059	991%
Midlands Choice - All Plans	$2,126	1990%

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 $2,262.
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 St Anthony Regional Hospital & Nursing Home 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.