CT scan, chest (no contrast)
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $105
- Cash Discount Price: $1,836
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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.