CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: University Of Kansas Health System - St Francis Campus

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $705
  • Cash Discount Price: $516
  • vs. Medicare Baseline: 6.60x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at University Of Kansas Health System - St Francis Campus is $705. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $516. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.60x the Medicare baseline. Located in 1700 Sw 7Th Street, Topeka, KS.
Cash / Self-Pay
$516

Average discount available for prompt cash payment at this facility.

Insurance Median
$705

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: $516 (483%)
Insurance Median: $705 (660%)
Cash: $516 (483% of Medicare)
Ins. Median: $705 (660% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 660% of the Medicare baseline (a markup of 560%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Web Tpa [2115] $705 660%
Blue Cross Blue Shield $705 660%
Hooray Health [8000] $705 660%
Oncology Patient Assistance Programs [2295] $705 660%
Healthcare Highways [2210] $705 660%
Black Lung [6055] $705 660%
Lucent Health [6000] $705 660%
Aetna $705 660%
Department Of Corrections [1340] $859 804%
Cigna $993 930%
American Postal Workers Union [1070] $993 930%
Healthpartners [1500] $993 930%
National Association Of Letter Carriers [1695] $993 930%
Humana $1,014 949%
Multiplan [1680] $1,335 1250%
Administrative Concepts [1005] $1,335 1250%
American Healthcare [1055] $1,335 1250%
First Health [1375] $1,335 1250%
Coventry Healthcare [1320] $1,409 1319%
Ks Disability Determination [6090] $1,718 1608%

Consumer Guidance & Cost Commentary

For the CPT code 71250 (CT scan, chest, no contrast) at the University Of Kansas Health System - St Francis Campus, the facility's cash median price is $516.00, which is significantly lower than the state average of $1,718.00. While the facility's negotiated rate averages $705.00 across 20 payers, this amount remains below the gross charge of $1,718.00, reflecting the impact of insurance contracts. However, patients with high-deductible plans should note that paying the cash price of $516.00 upfront may result in lower out-of-pocket costs if their insurance negotiated rate exceeds this amount, as the administrative overhead of insurance billing often inflates the baseline price by 20% to 40%.

To maximize savings, patients should verify their specific plan's allowed amount before scheduling and explicitly request "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full within 30 days. This bypasses costly claims processing and eliminates the risk of balance billing, which is largely prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act. Given that over 80% of hospital bills contain errors, consumers are encouraged to demand a full itemized CPT-coded statement rather than accepting summary invoices, ensuring they can accurately identify any unbundled codes or services not rendered before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 Sw 7Th Street, Topeka, KS 66606
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals