CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Clay County Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $163
Cash Discount Price: $2,812
vs. Medicare Baseline: 1.53x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Clay County Hospital is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,812. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.53x the Medicare baseline. Located in 911 Stacy Burk Dr, Flora, IL.

Cash / Self-Pay

$2,812

Average discount available for prompt cash payment at this facility.

Insurance Median

$163

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: $2,812 (2633%)

Insurance Median: $163 (153%)

Cash: $2,812 (2633% of Medicare)

Ins. Median: $163 (153% 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
Aetna	$45 - $2,221	42%
Blue Cross Blue Shield	$45 - $2,064	42%
Meridian	$45 - $759	42%
Molina	$45	42%
Ambetter / Centene	$49 - $759	46%
Medica(Wellfirst)	$49 - $1,743	46%
UnitedHealthcare	$49 - $2,250	46%
Wellcare	$49 - $759	46%
Healthlink	$205 - $2,250	192%
Cigna	$253 - $2,250	237%
Usa Mco	$300 - $2,671	281%

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 $2,812.
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 Clay County Hospital 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.