CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Grisell Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $816
  • Cash Discount Price: $889
  • vs. Medicare Baseline: 7.64x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Grisell Memorial Hospital is $816. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $889. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.64x the Medicare baseline. Located in 210 South Vermont Avenue, Ransom, KS.
Cash / Self-Pay
$889

Average discount available for prompt cash payment at this facility.

Insurance Median
$816

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: $889 (832%)
Insurance Median: $816 (764%)
Cash: $889 (832% of Medicare)
Ins. Median: $816 (764% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 764% of the Medicare baseline (a markup of 664%). 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.

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
Blue Cross Blue Shield $430 403%
UnitedHealthcare $696 - $936 652%
Medicaid / KanCare $936 876%
Humana $936 876%

Consumer Guidance & Cost Commentary

For the CPT code 71250 (CT scan, chest, no contrast) at Grisell Memorial Hospital in Ransom, KS, the facility's cash median price is $889.00, which is lower than the gross charge of $936.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead; for instance, UnitedHealthcare's negotiated range spans $696 to $936, meaning paying cash upfront could result in immediate savings compared to insurance reimbursement. Given that the cash price is already below the facility's gross charge, patients with high-deductible plans may find self-pay or prompt-pay discounts the most cost-effective option, provided they verify the specific "self-pay" rate with the hospital before scheduling.

The data indicates that the facility's negotiated rates for this service are significantly higher than the Medicare benchmark of $106.81, with a median paid amount of $936.00 reflecting the typical markup found in commercial contracts. Although specific county or state average comparisons are not included in the provided dataset, it is important to understand that Medicare rates serve as the objective baseline for evaluating hospital pricing markups, revealing that commercial rates often range from 200% to 300% of the Medicare amount. To avoid unexpected costs, consumers should request an itemized billing audit to ensure no unbundled codes or services not rendered are included, and they should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, out-of-network ancillary services may still trigger additional charges

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 South Vermont Avenue, Ransom, KS 67572
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals