CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Via Christi Hospital Wichita St Teresa, Inc

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $99
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Via Christi Hospital Wichita St Teresa, Inc is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.93x the Medicare baseline. Located in 14800 West Teresa St, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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%)
Insurance Median: $99 (93%)
Ins. Median: $99 (93% 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
Humana $98 92%
Saint Lukes Health Systems $98 92%
Vc Hope $98 92%
Va $98 92%
Medicare (plans) $98 - $100 92%
Via Christi Research $98 92%
UnitedHealthcare $100 - $275 94%
Blue Cross Blue Shield $100 94%
Corizon $123 115%
Smarthealth $138 129%
Medicaid / KanCare $167 156%
Aetna $387 362%
Coventry City Of Wichita $658 616%

Consumer Guidance & Cost Commentary

For the CPT code 71250 (CT scan, chest, no contrast) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $98 to $387 depending on your specific insurance plan. While many payers, including Humana, Saint Lukes Health Systems, and Va, have a single negotiated rate of $98, others like UnitedHealthcare and Aetna have significantly higher ranges of $100–$275 and $387 respectively. It is important to note that these negotiated rates often exceed the actual cash price for patients without insurance. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price directly could result in lower out-of-pocket costs compared to the insurance negotiated rate, as commercial contracts often include administrative overhead that inflates the baseline price.

The facility's negotiated rates should be compared against the state and county averages to understand the true cost of care. For this procedure, the Medicare benchmark amount is $106.81, which serves as a scientifically validated baseline for the "true cost" of delivery. While the facility's median negotiated rate is $99.00, which is slightly below the Medicare amount, the maximum negotiated rate of $387 for Aetna represents a significant markup. Patients should verify their specific allowed amounts before scheduling, as in-network status does not guarantee the lowest possible price. Additionally, because this is a voluntary non-profit facility, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14800 West Teresa St, Wichita, KS 67235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals