CT scan, chest (no contrast)
Facility: Kiowa District Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $821
- Cash Discount Price: $705
- vs. Medicare Baseline: 7.69x 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 769% of the Medicare baseline (a markup of 669%). 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 |
|---|---|---|
| Healthchoice-All Plans | $280 | 262% |
| Tricare | $337 - $350 | 316% |
| Blue Cross Blue Shield | $453 | 424% |
| UnitedHealthcare | $691 - $898 | 647% |
| Health Partners Of Ks-All Plans | $760 - $790 | 712% |
| Humana | $780 - $810 | 730% |
| Gbs Insurance - All Plans | $812 - $844 | 760% |
| Multiplan-All Plans | $812 - $844 | 760% |
| Medicare (plans) | $821 - $853 | 769% |
| Triwest-All Plans | $821 - $853 | 769% |
| Aetna | $821 - $853 | 769% |
| Medicaid / KanCare | $864 - $898 | 809% |
| Providers Care (Wppa)-All Plans | $1,296 - $1,347 | 1213% |
| Liberty Healthshare-All Plans | $1,395 - $1,450 | 1306% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Kiowa District Hospital, the cash price is $705, which is lower than the median negotiated rate of $816 paid by most insurance plans. While the facility's negotiated rates range from $280 to $1,450 depending on the payer, the cash price offers a potential savings for patients with high-deductible plans, as paying upfront can sometimes be cheaper than the insurance allowed amount. It is important to note that the facility is a Critical Access Hospital in Kiowa, Kansas, and while specific state or county average comparisons are not provided in this data, patients should verify their specific plan's allowed amount before scheduling to ensure they are not being charged the full negotiated rate.
Patients should be aware that hospitals often offer prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window, such as 30 days. To secure this discount, it is crucial to request a self-pay classification and a waiver of insurance submission before check-in, as billing systems may automatically submit claims to insurers even if the patient intends to pay cash. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, but they should always request an itemized bill to review every charge and dispute any errors or unbundled codes before making a payment.