CT scan, chest (no contrast)
Facility: Susan B Allen Memorial Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $554
- Cash Discount Price: $741
- vs. Medicare Baseline: 5.19x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 519% of the Medicare baseline (a markup of 419%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $350 | 328% |
| Providrs Care | $757 | 709% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Susan B Allen Memorial Hospital in El Dorado, KS, the facility's cash median price is $741.00, which is lower than the state average markup relative to Medicare. While the hospital's negotiated rates with UnitedHealthcare and Providrs Care are $350 and $757 respectively, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds this amount. It is important to note that commercial negotiated rates often include administrative overhead and can be higher than cash prices; therefore, patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
This service is subject to balance billing if received from an out-of-network provider, though the No Surprises Act protects patients from such unexpected bills for emergency care and non-emergency services at in-network facilities. If you receive a bill for the difference between the provider's full charge and your insurance payment, you should dispute it with your insurer rather than paying immediately. Additionally, since over 80% of hospital bills contain errors, you should request a full itemized CPT-coded statement before agreeing to any payment plan, ensuring no unbundled codes or services not rendered are included in the final invoice.