CT scan, chest (no contrast)
Facility: Lmh
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $107
- Cash Discount Price: $692
- vs. Medicare Baseline: 1.00x 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 |
|---|---|---|
| Medicare (plans) | $39 - $105 | 37% |
| UnitedHealthcare | $39 - $1,981 | 37% |
| Humana | $39 - $105 | 37% |
| Cigna | $39 - $1,993 | 37% |
| Blue Cross Blue Shield | $46 - $1,930 | 43% |
| Haskell Indian Health Services | $46 - $105 | 43% |
| Allwell | $47 - $107 | 44% |
| Ambetter / Centene | $47 - $163 | 44% |
| Aetna | $1,835 - $2,477 | 1718% |
| Non Contracted | $2,043 - $2,387 | 1913% |
| First Health | $2,375 - $2,775 | 2224% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Lmh in Lawrence, KS, the facility's cash price of $692.00 is significantly lower than the Medicare benchmark of $106.81, which serves as the federal baseline for this service. While commercial insurance plans like UnitedHealthcare and Cigna negotiate rates ranging from $39 to nearly $2,000, these negotiated amounts often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the $692.00 self-pay price is lower than the negotiated rates many insurers charge, effectively bypassing the inflated administrative layers inherent in the insurance billing cycle.
To maximize savings, consumers should verify if the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit. Since the facility is government-owned and located in Lawrence, KS, patients should compare these specific rates against state and county averages to ensure they are receiving fair pricing, keeping in mind that the No Surprises Act protects against unexpected balance billing for out-of-network services at in-network facilities.