CT scan, chest (no contrast)
Facility: Stafford County Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $766
- Cash Discount Price: $766
- vs. Medicare Baseline: 7.17x 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 717% of the Medicare baseline (a markup of 617%). 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 |
|---|---|---|
| Health Partners-All Plans | $728 | 682% |
| Va Ccn-All Plans | $766 | 717% |
| UnitedHealthcare | $766 | 717% |
| Humana | $766 | 717% |
| Medica Mcr- All Plans | $766 | 717% |
Consumer Guidance & Cost Commentary
For the CPT code 71250 (CT scan, chest, no contrast), Stafford County Hospital's cash and negotiated rates are consistent at $766.00, which matches the state average for this service. This price is significantly higher than the Medicare benchmark of $106.81, reflecting a markup of 720% over the federal baseline. While commercial payers like Health Partners, UnitedHealthcare, and Humana all negotiate this same $766.00 rate, patients with high-deductible plans may find it beneficial to pay the cash price directly, as the cash rate is identical to the negotiated rate in this instance.
To minimize costs, patients should proactively ask the hospital about "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full upfront, bypassing the administrative overhead of insurance claims. It is also important to request an itemized bill to verify that no services were unbundled or that charges for items not rendered were included. Given that the facility is a Critical Access Hospital in Stafford, KS, and operates under government-local ownership, patients should confirm their specific plan's allowed amount before scheduling to ensure they are not subject to unexpected balance billing, though the No Surprises Act protects against such charges for out-of-network providers at in-network facilities.