CT scan, chest (no contrast)
Facility: Kiowa County Memorial Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $712
- Cash Discount Price: $680
- vs. Medicare Baseline: 6.67x 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 667% of the Medicare baseline (a markup of 567%). 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 | $458 - $712 | 429% |
| UnitedHealthcare | $641 - $800 | 600% |
| Health Partners Of Ks-All Plans | $704 | 659% |
| Humana | $712 | 667% |
| Medica Prime Mcare Cost-All Plans | $712 | 667% |
| Aetna | $712 | 667% |
| Celtic Comml Exchange-All Other Plans | $712 | 667% |
| Medicaid / KanCare | $800 | 749% |
| Providrs Care/Wppa-All Plans | $1,200 | 1123% |
Consumer Guidance & Cost Commentary
For the CPT code 71250 (CT scan, chest, no contrast), Kiowa County Memorial Hospital in Greensburg, KS, has a cash median price of $680.00, which is lower than the facility's negotiated rates of $712.00 and the gross charge of $800.00. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans might find paying the cash price directly more cost-effective if their insurance negotiated rate exceeds $680.00. It is important to note that while the facility offers prompt-pay discounts for upfront payment, patients should verify their specific plan's allowed amount before scheduling to ensure they are not inadvertently incurring balance billing, especially if receiving care from out-of-network providers where the No Surprises Act may protect them from unexpected charges.
When evaluating the cost of this service, it is crucial to compare rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $106.81, which serves as the objective baseline for fair pricing; commercial negotiated rates typically range from 200% to 300% of this amount, though fair pricing is often defined as 120% to 150%. Although the data does not provide specific county or state average comparisons for this exact code, patients should be aware that over 80% of hospital bills contain errors, making it essential to request an itemized billing audit before paying any invoice. If a summary bill is received, patients should demand a full CPT-coded statement to identify unbundled codes or services not rendered,