CT scan, chest (no contrast)
Facility: University Of Kansas Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $2,460
- Cash Discount Price: $1,015
- vs. Medicare Baseline: 23.03x 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 2303% of the Medicare baseline (a markup of 2203%). 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 |
|---|---|---|
| Lasso Healthcare [503999926] | $98 | 92% |
| Tricare | $98 | 92% |
| Workers Comp [503999901] | $98 - $4,819 | 92% |
| Humana | $98 - $100 | 92% |
| UnitedHealthcare | $98 - $156 | 92% |
| Triwest [503201703] | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Aetna | $98 - $137 | 92% |
| Ku Athletics [503200094] | $98 | 92% |
| Devoted [503200068] | $98 | 92% |
| Allwell [503200078] | $101 | 95% |
| Blue Cross Blue Shield | $101 - $3,894 | 95% |
| American Health Plans [503200968] | $102 | 95% |
| Oscar [503201609] | $117 | 110% |
| Centurion [5032000966] | $127 | 119% |
| Centivo [5032000982] | $161 | 151% |
| Wellfit [503301514] | $161 | 151% |
| Ambetter / Centene | $166 | 155% |
| 6 Degrees Health [503999050] | $171 - $244 | 160% |
| Alt Wppa [5032000964] | $195 - $3,073 | 183% |
| Fort Hays State Student Athletes [5032000960] | $205 | 192% |
| Occunet [503999930] | $205 | 192% |
| Multiplan [503200057] | $264 | 247% |
| Claimdoc [503301509] | $264 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $293 | 274% |
| Larned State Hospital [503200090] | $1,497 | 1402% |
| Health Plan Inc [503999941] | $2,384 | 2232% |
| Accarent Health [503999034] | $2,536 | 2374% |
| Alt Carelon Behavioral Health [503200905] | $2,536 | 2374% |
| Php [503200005] | $3,044 - $3,749 | 2850% |
| Allied National [503999937] | $3,044 | 2850% |
| Med-Pay [503200040] | $3,073 | 2877% |
| Healthlink [503200007] | $3,073 - $3,749 | 2877% |
| Geha [503200036] | $3,073 | 2877% |
| Cerner [503200038] | $3,073 | 2877% |
| Inter-Americas Insurance [503999032] | $3,073 | 2877% |
| Aha-Healthcare Preferred [503200050] | $3,343 | 3130% |
| First Health [5032000110] | $3,343 | 3130% |
| Correct Care Solutions [50311253] | $3,551 | 3325% |
| Consolidated Billing [50311256] | $3,551 | 3325% |
| Coeur Plan Services [503301517] | $3,551 | 3325% |
| Ascension Living Hope [503201517] | $3,551 | 3325% |
| Orscheln Industries [503201608] | $3,805 | 3562% |
| Empire Plan/Nyship [503200705] | $3,894 | 3646% |
| Alt Lineco [5032000976] | $3,894 | 3646% |
| Alt Lucent Health Solutions [503202603] | $3,894 | 3646% |
| Century Health Solutions [503200054] | $4,058 | 3799% |
| Cigna | $4,058 | 3799% |
| Quiktrip [5032000412] | $4,058 | 3799% |
| Point Comfort Underwriters [503200018] | $4,058 | 3799% |
| Meritain Health [503200039] | $4,261 | 3989% |
| Wppa [503200056] | $4,261 | 3989% |
| Plan Care America [503999026] | $4,566 | 4275% |
| Three Rivers Provider Network [503999029] | $4,566 | 4275% |
| Employers Health Network [503999025] | $4,566 | 4275% |
| Usa Managed Care [503999030] | $4,566 | 4275% |
| Sanford Health Plan [503999027] | $4,566 | 4275% |
Consumer Guidance & Cost Commentary
For the CPT code 71250, representing a CT scan of the chest without contrast, the University of Kansas Hospital in Kansas City, KS, lists a gross charge of $5,073.00. While the facility's cash median rate is $1,015.00, commercial insurance negotiated rates vary significantly, ranging from $98 to $4,261 across 57 different payers. It is important to note that many commercial payers, such as Blue Cross Blue Shield and Cigna, have negotiated rates that exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly rather than relying on insurance reimbursement. Additionally, the facility offers a prompt-pay discount for upfront payment, which can further reduce the final balance before insurance processing begins.
When evaluating the cost against benchmarks, the Medicare amount for this service is $106.81, which serves as the objective baseline for fair pricing. The facility's cash median of $1,015.00 represents a markup of 23.0% over the Medicare rate, while the median negotiated rate of $2,460.00 is substantially higher. Although the facility is a government-owned acute care hospital with a perfect rating, patients should verify their specific plan details before scheduling. We recommend requesting an itemized bill to ensure no errors exist and asking explicitly about self-pay or prompt-pay discounts prior to check-in to avoid unexpected balance billing or administrative fees.