CT scan, chest (no contrast)
Facility: Nemaha Valley Community Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $882
- Cash Discount Price: $1,543
- vs. Medicare Baseline: 8.26x 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 826% of the Medicare baseline (a markup of 726%). 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 | $480 | 449% |
| Humana | $747 - $762 | 699% |
| Va Ccn - All Plans | $747 - $762 | 699% |
| Aetna | $754 - $1,471 | 706% |
| Celtic Comm Exch - All Plans | $821 - $838 | 769% |
| Partners Direct Health - All Plans | $882 - $900 | 826% |
| Multiplan - All Plans | $1,527 - $1,558 | 1430% |
| Health Partners - All Plans | $1,612 - $1,644 | 1509% |
| Midlands Choice - All Plans | $1,612 - $1,644 | 1509% |
Consumer Guidance & Cost Commentary
For the CPT code 71250, representing a chest CT scan without contrast at Nemaha Valley Community Hospital in Seneca, KS, the facility's cash median price is $1,543. This cash rate is notably higher than the state average for this procedure, which is $1,068.10. While the hospital's negotiated rates for commercial payers range from $480 to $1,644, patients should be aware that these insurance rates often exceed the cash price due to administrative overhead and contract structures. In cases where a patient has a high deductible or no current coverage, paying the cash price directly can sometimes result in lower out-of-pocket costs compared to the negotiated rates their insurer would allow, provided the patient secures a "self-pay" or "prompt-pay" discount before scheduling.
It is important to distinguish between the hospital's gross charges and the actual amounts paid. The Medicare benchmark for this service is $106.81, which serves as the objective baseline for evaluating pricing markups. Commercial negotiated rates for this procedure average significantly higher than the Medicare rate, reflecting the complex dynamics of insurance contracts. Patients are advised to request an itemized bill to ensure no errors exist, as over 80% of hospital bills contain discrepancies. Furthermore, if a patient chooses to use insurance, they must verify their deductible status beforehand, as paying the full negotiated rate before meeting the deductible can lead to unexpected financial burdens.