CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Kootenai Health

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $124
Cash Discount Price: $900
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Kootenai Health is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $900. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$900

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $900 (843%)

Insurance Median: $124 (116%)

Cash: $900 (843% of Medicare)

Ins. Median: $124 (116% 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.

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
Coordinated Care Of Washington	$33 - $93	31%
Molina Healthcare Of Idaho	$33 - $444	31%
Molina Healthcare Of Washington	$33 - $93	31%
Blue Cross Blue Shield	$47 - $1,080	44%
Humana	$47 - $124	44%
Premera	$47 - $742	44%
Regence Blue Shield Of Idaho	$47 - $124	44%
UnitedHealthcare	$47 - $1,080	44%
Pacificsource	$48 - $983	45%
Aetna	$50 - $996	47%
Group Health/Kaiser	$65 - $389	61%
Magellan	$86 - $137	81%
Wellpoint	$86 - $137	81%
Mountain Health Co-Op	$930	871%
Cigna	$983 - $997	920%
Interwest Health	$1,020	955%
First Choice Health (Ameriben)	$1,024 - $1,039	959%

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 $900.
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 Kootenai Health 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.