CT scan, chest (no contrast)
Facility: Kansas Surgery & Recovery Center
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $207
- Cash Discount Price: $782
- vs. Medicare Baseline: 1.94x 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 |
|---|---|---|
| Aetna | $96 - $470 | 90% |
| Blue Cross Blue Shield | $96 - $458 | 90% |
| UnitedHealthcare | $98 - $534 | 92% |
| Cigna | $251 | 235% |
Consumer Guidance & Cost Commentary
For the CPT code 71250 (CT scan, chest, no contrast) at Kansas Surgery & Recovery Center in Wichita, KS, the facility's cash median price is $782.00, which is significantly higher than the state average of $106.81. While commercial insurance plans like Aetna, Blue Cross Blue Shield, and UnitedHealthcare negotiate rates ranging from $96 to $534, these figures often represent a ceiling rather than the final amount you will pay. It is important to note that for patients with high-deductible plans, paying the cash price of $782.00 upfront can sometimes be cheaper than the negotiated rate your insurer would allow, especially if you have not yet met your deductible. Additionally, the facility offers a voluntary non-profit status, and you should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the bill by 20% to 50% by bypassing administrative claim processing fees.
When evaluating the cost, it is crucial to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster. The Medicare amount for this procedure is $106.81, and the facility's negotiated rate of $207.00 is approximately 1.9 times the Medicare rate, indicating a markup that exceeds the typical fair pricing range of 120% to 150%. Patients should avoid accepting summary bills and instead request a detailed, itemized audit to ensure no errors, double-billing, or unbundled codes are included in the final invoice. Furthermore, if you are out-of-network, the No Sur