CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Kansas Medical Center Llc

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $96
  • Cash Discount Price: $642
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Kansas Medical Center Llc is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $642. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 1124 West 21St Street, Andover, KS.
Cash / Self-Pay
$642

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $642 (601%)
Insurance Median: $96 (90%)
Cash: $642 (601% of Medicare)
Ins. Median: $96 (90% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $60 56%
Indian Health $87 81%
Tricare $87 81%
Humana $96 90%
Blue Cross Blue Shield $96 - $437 90%
Medadv_Wellcare $96 90%
Ambetter / Centene $96 90%
Three_Rivers $193 181%
Aetna $450 421%
Wppa $525 492%
United $580 543%

Consumer Guidance & Cost Commentary

For a CT scan of the chest without contrast at Kansas Medical Center Llc in Andover, the cash median price is $642, while the facility's negotiated rates with insurance plans range from $60 to $580. It is important to note that for patients with high-deductible plans, paying cash upfront can sometimes be cheaper than the insurance negotiated rate, which often includes administrative overhead and claim processing costs. While the facility's cash price is higher than the state average for this procedure, patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated amount may not be covered until that threshold is met. Additionally, many hospitals offer prompt-pay discounts for self-pay patients who settle their bill in full within 30 days, which can further reduce the final cost.

To ensure you are not overcharged, it is recommended to request an itemized billing audit before paying any invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Do not accept a summary bill showing broad categories like "Laboratory" as your final charge; instead, demand a detailed statement listing every CPT code and unit cost to identify potential double-billing or unbundling. Furthermore, when comparing prices, always use the Medicare rate of $106.81 as the objective benchmark rather than the hospital's inflated chargemaster list, as commercial rates are often marked up significantly above this federal baseline. If you encounter a balance bill for out-of-network services, you may be entitled to protections under the No Surprises Act, which bans surprise billing for emergency care and non-emergency services at in-network facilities.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1124 West 21St Street, Andover, KS 67002
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals