CT scan, chest (no contrast)
Facility: Kearny County Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,250
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 11.70x 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 1170% of the Medicare baseline (a markup of 1070%). 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 |
|---|---|---|
| Meritain Health | $900 | 843% |
| Humana | $1,000 | 936% |
| UnitedHealthcare | $1,250 | 1170% |
| Community Care Health Plan Of | $1,250 | 1170% |
| Wps Gha - Mac J5 Part A | $1,250 | 1170% |
| Blue Cross Blue Shield | $1,250 | 1170% |
Consumer Guidance & Cost Commentary
For this CT scan of the chest (no contrast) at Kearny County Hospital in Lakin, Kansas, the facility's negotiated rates are consistently $1,250 across all six major payers listed, including Meritain Health, Humana, and UnitedHealthcare. This uniform negotiated amount is significantly higher than the state average for this procedure, which is $69.00. While commercial insurance contracts often result in higher out-of-pocket costs for members due to administrative fees and network tiering, patients with high-deductible plans should be aware that paying cash directly might be more affordable if the facility offers a self-pay or prompt-pay discount. It is essential to contact the hospital before scheduling to confirm their cash price and request any available upfront payment incentives, as these discounts can bypass the standard insurance billing cycle.
The Medicare benchmark for this service is $106.81, which serves as the objective baseline for evaluating pricing fairness. The facility's negotiated rate of $1,250 represents a substantial markup compared to this federal standard, illustrating how commercial rates can exceed the true cost of care delivery. Because over 80% of hospital bills contain errors, patients should never accept a summary bill as final; instead, they should request a detailed, itemized statement to identify any unbundled codes or services not rendered. If a patient receives a balance bill from an out-of-network provider at this in-network facility, they may be entitled to protections under the No Surprises Act, which bans surprise billing for emergency and non-emergency services. Disputing such bills in writing with the insurer is the most effective way to prevent unexpected charges.