CT scan, chest (no contrast)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $99
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 | $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