CT scan, chest (no contrast)
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $96
- Cash Discount Price: $1,041
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $94 | 88% |
| UnitedHealthcare | $96 - $116 | 90% |
| Providrs Care Network | $96 | 90% |
| United Mine Workers Of America | $96 | 90% |
| Aetna | $96 - $120 | 90% |
| Blue Cross Blue Shield | $96 - $462 | 90% |
| Lantern Specialty Care | $153 | 143% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Kansas Spine & Specialty Hospital, the cash median price is $1,041.00, which is lower than the facility's gross charge of $1,602.00. While the facility is in-network for several major payers, their negotiated rates vary significantly, ranging from $94 to $462 depending on the insurance plan. For patients with high-deductible plans, paying the cash price of $1,041.00 upfront may be more cost-effective than relying on insurance, as some negotiated rates exceed the cash amount. To secure the lowest possible cost, patients should explicitly request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50% by bypassing administrative claim processing fees.
The facility's pricing is benchmarked against Medicare, where the allowed amount for this procedure is $106.81. The cash price of $1,041.00 represents a significant markup over the Medicare rate, which serves as the federal baseline for healthcare costs. Although the data does not provide specific county or state average comparisons for this exact code, patients should be aware that commercial negotiated rates often include administrative overhead that inflates the baseline price. If a patient receives a bill from an out-of-network provider or encounters unexpected charges, they may be subject to balance billing, though the No Surprises Act protects against surprise bills for emergency care and non-emergency services at in-network facilities. Consumers are advised to always request an itemized bill to verify that all charges are accurate and that no services were unbundled or duplicated.