CT scan, chest (no contrast)
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $391
- Cash Discount Price: $1,772
- vs. Medicare Baseline: 3.66x 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 366% of the Medicare baseline (a markup of 266%). 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 |
|---|---|---|
| Medicaid / KanCare | $60 - $215 | 56% |
| Blue Cross Blue Shield | $60 - $490 | 56% |
| Humana | $71 - $104 | 66% |
| Aetna | $71 - $104 | 66% |
| Provider Partners Health Plans Contracted [320450] | $76 | 71% |
| UnitedHealthcare | $91 - $2,522 | 85% |
| Qual Choice Contracted [320325] | $102 | 95% |
| Pace Of The Ozarks Contracted [320518] | $102 | 95% |
| Mercy Mgd Behavioral Health Contracted [320259] | $102 | 95% |
| Kindful Hospice [20434] | $102 | 95% |
| Cigna | $102 - $467 | 95% |
| Cross Timbers Hospice [20098] | $102 | 95% |
| Medical Associates Health Contracted [320444] | $102 | 95% |
| Elara Caring Aspire Hospice [20433] | $102 | 95% |
| Halo Hcr Inc Hospice [20432] | $102 | 95% |
| Kindful Hospice Contracted [320434] | $102 | 95% |
| Cherokee Nation Health Serv Contracted [320066] | $102 | 95% |
| Tricare | $102 | 95% |
| Globalhealth Contracted [320145] | $102 | 95% |
| Medicare (plans) | $102 | 95% |
| Mercy Hospice Okc [20252] | $102 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $102 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $104 | 97% |
| First Health Contracted [320128] | $104 | 97% |
| Centivo Contracted [320505] | $104 | 97% |
| United Medical Resources Contracted [320454] | $114 - $391 | 107% |
| Providrs Care Network Contracted [320484] | $197 | 184% |
| Healthscope Contracted [320182] | $391 - $2,044 | 366% |
| Insurance System Inc Contracted [320465] | $391 | 366% |
| Point C Contracted [320238] | $391 - $2,044 | 366% |
| Health Systems Inc Contracted [320174] | $391 | 366% |
| Benefit Management Contracted [320052] | $391 | 366% |
| Medica Contracted [320239] | $734 | 687% |
| Mercy Benefit Admin Contracted [320251] | $836 - $1,908 | 783% |
| Show-Me Health Administrators Contracted [320483] | $836 | 783% |
| Reflect Health Contracted [320492] | $1,908 | 1786% |
| Auxiant Contracted [320462] | $1,908 - $2,044 | 1786% |
| Ebms Contracted [320493] | $1,908 | 1786% |
| Imagine 360 Contracted [320494] | $1,908 | 1786% |
| American Healthcare Alliance Contracted [320020] | $1,908 | 1786% |
| Aither Health Contracted [320449] | $1,908 | 1786% |
| Edison Health Solutions Contracted [320502] | $1,908 | 1786% |
| Yuzu Health Contracted [320521] | $1,908 | 1786% |
| Federal Medical Center Contracted [320127] | $2,044 | 1914% |
| Healthlink Contracted [320179] | $2,044 | 1914% |
| Preferred Health Plan Contracted [320522] | $2,044 | 1914% |
| Compcare Of The Ozarks Contracted [320437] | $2,154 | 2017% |
| Workers Comp [20426] | $2,181 | 2042% |
| Private Health Care Systems Contracted [320320] | $2,522 | 2361% |
| Multiplan [20270] | $2,590 | 2425% |
| Multiplan Contracted [320270] | $2,590 | 2425% |
Consumer Guidance & Cost Commentary
For the CPT code 71250 (CT scan, chest, no contrast), the facility's cash median price of $1,772 is significantly lower than the negotiated rates charged to most insurance plans, which range from $60 to $2,590. While the facility's gross charge is $2,726, patients with high-deductible plans may find the cash price more affordable than their insurance allowed amounts, which can exceed $2,000 for certain payers like UnitedHealthcare and Point C. It is important to note that commercial negotiated rates often include administrative overhead and contract structures that can inflate the baseline price by 20% to 40% compared to the actual cost of care.
To minimize out-of-pocket costs, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50%. Additionally, if you receive a bill from an out-of-network provider at this facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services. If you do receive a balance bill, you should request a formal itemized audit to identify errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through written dispute.