CT scan, chest (no contrast)
Facility: Overland Park Reg Med Ctr
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,962
- Cash Discount Price: $9,285
- vs. Medicare Baseline: 18.37x 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 1837% of the Medicare baseline (a markup of 1737%). 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 |
|---|---|---|
| United | $60 - $4,415 | 56% |
| Amerigroup | $60 | 56% |
| Healthyblue | $61 | 57% |
| Aetna | $62 - $5,003 | 58% |
| Unicare | $62 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Cigna | $122 - $181 | 114% |
| Multiplan | $136 - $7,260 | 127% |
| Corvel Corporation | $162 - $6,377 | 152% |
| Oha Network | $169 - $4,905 | 158% |
| Blue Cross Blue Shield | $322 - $4,218 | 301% |
| Humana | $362 - $468 | 339% |
| Ambetter / Centene | $1,629 - $1,825 | 1525% |
| Nhc Advantage | $1,664 - $1,864 | 1558% |
| Wppa Providrs Care Network | $1,752 - $1,962 | 1640% |
| Universal Healthcare | $3,066 - $3,434 | 2871% |
| Coventry | $3,521 - $3,944 | 3297% |
| Coventry Kc Mo | $3,591 - $4,022 | 3362% |
| College Park Family Care Center | $3,766 - $4,218 | 3526% |
| Triwest Health Alliance | $6,569 - $7,358 | 6150% |
| Focus Healthcare Mgmt, Inc | $6,569 - $7,358 | 6150% |
| Cco, Inc. | $6,569 - $7,358 | 6150% |
Consumer Guidance & Cost Commentary
For a chest CT scan without contrast at Overland Park Reg Med Ctr, the cash price is $9,285.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by the 18.4% variance compared to Medicare benchmarks. While commercial insurance contracts often result in negotiated rates that exceed cash prices due to administrative overhead and claim processing costs, patients with high-deductible plans may find the cash price more affordable if their insurer's allowed amount is higher than $9,285.00. It is important to note that while the facility is an in-network Acute Care Hospital in Kansas, the absence of a specific county average in the provided data means comparisons are limited to the state level and Medicare benchmarks.
Patients should be aware that commercial negotiated rates can sometimes be inflated by multi-layered administrative structures, making the cash price a viable option for those who have met their deductible or wish to avoid potential balance billing scenarios. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is still advisable to request a "self-pay" or "prompt-pay" discount before scheduling, as these upfront fee reductions can lower the total cost by 20% to 50%. If you receive an itemized bill, ensure it includes detailed CPT codes to verify that no unbundled charges or services not rendered have been included, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.