CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mercy Hospital Pittsburg, Inc

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $105
  • Cash Discount Price: $1,836
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mercy Hospital Pittsburg, Inc is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,836. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 1 Mt Carmel Way, Pittsburg, KS.
Cash / Self-Pay
$1,836

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $1,836 (1719%)
Insurance Median: $105 (98%)
Cash: $1,836 (1719% of Medicare)
Ins. Median: $105 (98% 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.

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
Medicaid / KanCare $60 - $104 56%
Blue Cross Blue Shield $60 - $578 56%
Humana $71 - $102 66%
Aetna $71 - $2,400 66%
UnitedHealthcare $91 - $1,903 85%
Kindful Hospice [20434] $102 95%
Halo Hcr Inc Hospice [20432] $102 95%
Tricare $102 95%
Halo Hcr Inc Hospice Contracted [320432] $102 95%
Mercy Hospice Okc [20252] $102 95%
Dept Of Veteran Affairs Contracted [320106] $102 95%
Elara Caring Aspire Hospice [20433] $102 95%
Pace Of The Ozarks Contracted [320518] $102 95%
Kindful Hospice Contracted [320434] $102 95%
Cross Timbers Hospice [20098] $102 95%
American Health Advantage Of Ks Mcr Contracted [320508] $102 95%
Medicare (plans) $102 - $106 95%
Ambetter / Centene $104 97%
Home State Health Plan Contracted [320187] $104 97%
Providrs Care Network Contracted [320484] $197 184%
Health Choice Contracted [320166] $292 273%
Cigna $455 - $467 426%
Medica Contracted [320239] $734 687%
United Medical Resources Contracted [320454] $1,903 1782%
Healthlink Contracted [320179] $2,259 2115%
Imagine 360 Contracted [320494] $2,259 2115%
Reflect Health Contracted [320492] $2,259 2115%
Yuzu Health Contracted [320521] $2,259 2115%
Mercy Benefit Admin Contracted [320251] $2,259 2115%
Ebms Contracted [320493] $2,259 2115%
Edison Health Solutions Contracted [320502] $2,259 2115%
American Healthcare Alliance Contracted [320020] $2,259 2115%
Auxiant Contracted [320462] $2,259 2115%
Aither Health Contracted [320449] $2,259 2115%
Workers Comp [20426] $2,259 2115%
First Health Contracted [320128] $2,400 2247%

Consumer Guidance & Cost Commentary

Mercy Hospital Pittsburg, Inc., located at 1 Mt Carmel Way in Pittsburg, Kansas, performed a CT scan of the chest without contrast. The facility's cash median rate is $1,836, while the negotiated rates for insurance payers range from $60 to $2,400, with a median negotiated rate of $105 and a median paid rate of $107. For comparison, the Medicare amount for this service is $106.81, which serves as a benchmark for the true cost of delivery. Notably, several commercial payers, including Medicaid/KanCare, Blue Cross Blue Shield, and Humana, have negotiated rates that exceed the cash price, meaning patients with high-deductible plans might find paying the cash rate of $1,836 more financially advantageous than relying on their insurance coverage.

Patients should verify whether the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payments can significantly reduce the bill by bypassing costly insurance claims processing. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network emergency care at in-network facilities, unexpected ancillary services or non-emergency procedures may still trigger surprise charges if not properly managed. To ensure accuracy, consumers should request a full itemized billing audit containing specific CPT codes rather than accepting a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled charges that can be disputed in writing to reduce medical debt.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Mt Carmel Way, Pittsburg, KS 66762
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals