CT scan, chest (no contrast)
Facility: Kansas Heart Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,665
- Cash Discount Price: $1,166
- vs. Medicare Baseline: 15.59x 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 1559% of the Medicare baseline (a markup of 1459%). 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 |
|---|---|---|
| Tricare | $87 | 81% |
| Celtic Mcr Adv | $96 | 90% |
| Humana | $96 | 90% |
| UnitedHealthcare | $96 - $1,850 | 90% |
| Medicaid / KanCare | $96 - $1,850 | 90% |
| Blue Cross Blue Shield | $462 - $1,850 | 433% |
| Wppa - All Plans | $541 | 507% |
| Multiplan - All Plans | $1,665 | 1559% |
| Aetna | $1,804 - $1,850 | 1689% |
| Soonerselect Mcaid - All Plans | $1,850 | 1732% |
| Celtic Mcaid - All Other Plans | $1,850 | 1732% |
Consumer Guidance & Cost Commentary
For the CPT code 71250 (CT scan, chest, no contrast) at Kansas Heart Hospital in Wichita, the facility's cash median rate is $1,166.00, which is lower than the negotiated rates paid by most major payers. While the facility's negotiated rate of $1,665.00 aligns with the state average for this service, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds the cash rate. It is important to note that commercial payers like UnitedHealthcare and Medicaid/KanCare have negotiated ranges extending up to the gross charge of $1,850.00, meaning the actual amount your specific plan pays could vary significantly within those bands.
To minimize unexpected costs, patients should verify their specific plan's allowed amount before scheduling and explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50%. If you receive a bill that includes charges for services not rendered or unbundled components, you should request a full itemized audit rather than accepting a summary invoice. Additionally, if you are an out-of-network patient receiving care at this in-network facility, you may be protected from balance billing for emergency services and non-emergency services under the No Surprises Act, so do not sign away your rights to dispute any surprise charges without first reviewing the contract terms.