CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Cheyenne County Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $732
  • Cash Discount Price: $655
  • vs. Medicare Baseline: 6.85x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Cheyenne County Hospital is $732. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $655. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.85x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$655

Average discount available for prompt cash payment at this facility.

Insurance Median
$732

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: $655 (613%)
Insurance Median: $732 (685%)
Cash: $655 (613% of Medicare)
Ins. Median: $732 (685% 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 685% of the Medicare baseline (a markup of 585%). 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
UnitedHealthcare $215 - $770 201%
Blue Cross Blue Shield $453 424%
First Health - All Plans $539 505%
Aetna $554 - $732 519%
Tricare $554 519%
Healthy Blue Mcr Adv $554 519%
Choice Care - All Plans $560 524%
Firstguard - All Plans $616 577%
Wppa - All Plans $693 649%
Preferred Hc - All Plans $732 685%
Cpm - All Plans $732 685%
Midlands Choice - All Plans $747 699%
Unicare - All Plans $755 707%
Integrated Hp - All Plans $755 707%
Health Partners - All Plans $755 707%
Ppo Next - All Plans $755 707%
Healthwave Mcaid - All Plans $770 721%
Childrens Mercy - All Plans $770 721%
Healthy Blue Mcaid - All Other Plans $770 721%
Providers Care-All Plans $1,155 1081%

Consumer Guidance & Cost Commentary

For this CT scan of the chest (no contrast) at Cheyenne County Hospital in St. Francis, KS, the facility's cash price is $655, which is lower than the state average of $693. While the hospital's negotiated rates with insurance plans range from $453 to $1,155, patients should be aware that cash payments can sometimes be more cost-effective, particularly if your insurance deductible is high or if the negotiated rate exceeds the cash price. The facility, a voluntary non-profit Critical Access Hospital, offers a self-pay rate of $655, and you may be eligible for additional prompt-pay discounts if you settle the bill in full upfront, as these incentives bypass the administrative costs associated with insurance claims processing.

It is important to distinguish between the facility's gross charge of $770 and the actual amounts billed to patients. The No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, meaning you should not pay the difference between the chargemaster and your insurance allowed amount without first disputing the bill in writing. If you receive an itemized bill, request a full line-by-line audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected. Always verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in significantly higher out-of-pocket costs than paying the cash price directly.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals