CT scan, chest (no contrast)
Facility: F W Huston Medical Center
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,097
- Cash Discount Price: $1,140
- vs. Medicare Baseline: 10.27x 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 1027% of the Medicare baseline (a markup of 927%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $458 | 429% |
| Aetna | $1,069 | 1001% |
| Humana | $1,126 | 1054% |
| Cigna | $1,211 | 1134% |
Consumer Guidance & Cost Commentary
For the CPT code 71250 (CT scan, chest, no contrast) at F W Huston Medical Center in Winchester, KS, the facility's cash median price is $1,140.00, which is lower than the negotiated rates paid by major insurers like Blue Cross Blue Shield ($458), Aetna ($1,069), and Humana ($1,126). While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should verify their specific plan details, as commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. If you have a high-deductible plan, paying the cash price of $1,140.00 upfront may result in lower out-of-pocket costs compared to your insurance's negotiated rate, provided you have not yet met your deductible.
The facility's cash price of $1,140.00 is significantly higher than the Medicare benchmark of $106.81, reflecting the standard markup in commercial healthcare pricing where allowed amounts often range between 200% and 300% of Medicare rates. To ensure you are receiving fair value, it is recommended to request an itemized billing audit before finalizing payment, as summary bills can obscure individual charges or unbundled components. Additionally, ask the billing department about "prompt-pay" discounts, which can reduce the total amount owed by 20% to 50% if settled within 30 days, effectively bypassing the costly insurance claims processing cycle.