CT scan, chest (no contrast)
Facility: Holton Community Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,222
- Cash Discount Price: $1,104
- vs. Medicare Baseline: 11.44x 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 1144% of the Medicare baseline (a markup of 1044%). 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 | $453 | 424% |
| UnitedHealthcare | $780 - $1,472 | 730% |
| Aetna | $780 - $1,472 | 730% |
| Humana | $788 | 738% |
| Kansas Superior Select - All Plans | $796 | 745% |
| Preferred Health Freedom | $1,222 | 1144% |
| Preferred Health Fn Select - All Other Plans | $1,222 | 1144% |
| Preferred Health Professionals | $1,222 | 1144% |
| Wppa Providers - All Plans | $1,399 | 1310% |
| Medicaid / KanCare | $1,472 | 1378% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Holton Community Hospital, the negotiated rates range from $453 to $1,472 depending on your specific insurance plan, with the lowest allowed amount being $453 for Blue Cross Blue Shield and the highest at $1,472 for Medicaid/KanCare. While the facility's cash price of $1,104 is higher than the state average, it remains significantly lower than the gross chargemaster price of $1,473. Patients with high-deductible plans may find that paying the cash price directly is more cost-effective than using insurance, as the negotiated rates for many commercial payers exceed the cash rate. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary widely even within the same insurance system.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront, bypassing the administrative overhead associated with insurance claims. Additionally, since Medicare sets a benchmark rate of $106.81 for this procedure, the commercial negotiated rates reflect a significant markup relative to this federal baseline. If you receive a bill after using insurance, request a full itemized statement to review every code and ensure no services were billed for that were not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit.