CT scan, chest (no contrast)
Facility: Logan County Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,031
- Cash Discount Price: $375
- vs. Medicare Baseline: 9.65x 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 965% of the Medicare baseline (a markup of 865%). 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 | $636 | 595% |
| Health Partners - All Plans | $1,425 | 1334% |
| Medicaid / KanCare | $1,500 | 1404% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Logan County Hospital in Oakley, Kansas, the facility's cash price is $375, which is significantly lower than the state average of $1,031. While the hospital's negotiated rates with major payers like Blue Cross Blue Shield and Humana are $480 and $636 respectively, these amounts are still higher than the cash price. This pricing structure suggests that patients with high-deductible plans or those who have already met their out-of-pocket maximums may save money by paying the cash rate directly. To secure this lower price, it is essential to contact the hospital's billing department before scheduling to confirm the "self-pay" or "prompt-pay" discount, as these rates are often not automatically applied when insurance is on file.
The Medicare benchmark for this procedure is $106.81, which serves as a baseline for evaluating the facility's pricing markup. The hospital's cash rate of $375 represents a 250% increase over the Medicare amount, while the negotiated rates for in-network plans range from 4.5x to 13x the Medicare rate. Because the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should be aware that if they are billed for the difference between the provider's chargemaster and the insurance allowed amount, they have the right to dispute the bill in writing. Additionally, since over 80% of hospital bills contain errors, patients should request a full itemized CPT-coded statement to verify that all charges are accurate and that no services were unbundled or rendered incorrectly before making any payment.