CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Ellsworth County Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $522
  • Cash Discount Price: $693
  • vs. Medicare Baseline: 4.89x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Ellsworth County Medical Center is $522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $693. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.89x the Medicare baseline. Located in 1604 Aylward Avenue, Ellsworth, KS.
Cash / Self-Pay
$693

Average discount available for prompt cash payment at this facility.

Insurance Median
$522

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $693 (649%)
Insurance Median: $522 (489%)
Cash: $693 (649% of Medicare)
Ins. Median: $522 (489% of 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 489% of the Medicare baseline (a markup of 389%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Triwest -All Plans $251 - $400 235%
Healthy Blue Mcr Adv $251 - $400 235%
Va Ccn-All Plans $251 - $400 235%
Humana $251 - $808 235%
UnitedHealthcare $348 - $850 326%
Blue Cross Blue Shield $430 - $453 403%
Aetna $482 - $765 451%
First Health - All Plans $482 - $765 451%
Cigna $508 - $808 476%
Coventry Mcaid-All Plans $535 - $850 501%
Medicaid / KanCare $535 - $850 501%
Healthy Blue Mcaid- All Other Plans $535 - $850 501%
Providers Care-Wppa-All Plans $802 - $1,275 751%

Consumer Guidance & Cost Commentary

For the CPT code 71250, representing a CT scan of the chest without contrast, the cash price at Ellsworth County Medical Center is $693. This cash rate aligns exactly with the facility's reported median paid amount. While the facility is a Critical Access Hospital in Ellsworth, Kansas, with a facility rating of 2, the cash price is notably higher than the Medicare benchmark of $106.81. Under Medicare benchmarking principles, commercial rates often range from 200% to 300% of the Medicare rate, whereas fair pricing is typically defined as 120% to 150%. In this instance, the cash price represents a significant markup over the federal baseline, which serves as the objective cost standard for evaluating hospital pricing.

Insurance negotiated rates for this procedure vary widely across payers, ranging from a low of $251 to a high of $1,275, with a median negotiated rate of $522. Although the median negotiated rate of $522 is lower than the cash price of $693, patients should be aware that commercial rates include administrative overhead and contractual ceilings that can sometimes exceed cash prices. Additionally, the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, though emergency physicians or ancillary lab services may still trigger unexpected charges if not properly managed. To minimize costs, patients are encouraged to verify their specific plan's deductible status and ask the facility directly about "self-pay" or "prompt-pay" discounts, which can offer further reductions for upfront payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1604 Aylward Avenue, Ellsworth, KS 67439
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals