CT scan, chest (no contrast)
Facility: Saint John Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $109
- Cash Discount Price: $98
- vs. Medicare Baseline: 1.02x 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 | 56% |
| Cigna | $98 | 92% |
| Midland Care Connection | $98 | 92% |
| Tricare | $98 | 92% |
| Medicare (plans) | $98 | 92% |
| UnitedHealthcare | $98 - $138 | 92% |
| Aetna | $98 - $208 | 92% |
| Kansas Superior Select | $100 | 94% |
| Celtic | $103 - $158 | 96% |
| Healthy Blue | $103 - $109 | 96% |
| Well Path | $138 | 129% |
| Corizon | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
| Comp Alliance Workers Comp | $154 | 144% |
| Oha Networks | $166 | 155% |
| Worker Compensation | $171 | 160% |
| Blue Cross Blue Shield | $228 - $480 | 213% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Saint John Hospital in Leavenworth, KS, the cash price is $98.00, which is significantly lower than the facility's gross charge of $4,614.00. While the median negotiated rate across 19 payers is $109.00, this amount is still higher than the cash price, meaning patients with high-deductible plans or those without insurance could save money by paying out-of-pocket. It is important to note that commercial insurance rates often include administrative overhead and contract markups that can exceed the true cost of care; for instance, the median negotiated rate is roughly 111% of the Medicare benchmark of $106.81, whereas fair pricing is typically defined as 120% to 150% of Medicare. Patients should verify their specific plan's allowed amount before scheduling, as some insurers may negotiate rates that differ from the facility's published median.
To avoid unexpected costs, patients should proactively request a "self-pay" or "prompt-pay" discount from the hospital before check-in, as these upfront payment incentives can reduce the final bill by 20% to 50%. If a patient receives a bill from an out-of-network provider, they may be subject to balance billing, where the provider charges the difference between the full list price and the insurance allowed amount. However, the No Surprises Act protects patients from these surprise bills for emergency care and non-emergency services at in-network facilities. Furthermore, if a patient receives a summary bill, they should demand a full itemized audit to identify errors, unbundled codes, or services not rendered, as