CT scan, chest (no contrast)
Facility: Clara Barton Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,232
- Cash Discount Price: $958
- vs. Medicare Baseline: 11.53x 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 1153% of the Medicare baseline (a markup of 1053%). 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 | $453 | 424% |
| 6 Degrees Health - All Plans | $958 | 897% |
| Wppa-All Plans | $1,095 | 1025% |
| UnitedHealthcare | $1,232 | 1153% |
| Aetna | $1,232 | 1153% |
| Phcs - All Plans | $1,232 | 1153% |
| Hlth Partners Of Ks-All Plans | $1,259 | 1179% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Clara Barton Hospital in Hoisington, KS, the facility's cash price of $958 is notably lower than the median negotiated rate of $1,232 paid by most commercial insurers. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, the data indicates that paying out-of-pocket directly can result in significant savings compared to standard insurance billing, which often includes administrative overheads that inflate the final cost. Although the facility's rating is 2, the pricing structure suggests that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, the cash price may be more affordable than the negotiated rates charged by major payers like UnitedHealthcare, Aetna, and Blue Cross Blue Shield.
When comparing this specific service to broader benchmarks, the facility's cash rate of $958 is lower than the state average for this procedure, though the data does not provide a specific county average for direct comparison. It is important to note that while the Medicare benchmark for this code is $106.81, commercial rates are typically higher due to contract dynamics; however, the facility's cash price remains well below the median negotiated amount of $1,232. Patients should be aware that many hospitals offer prompt-pay discounts for upfront payment, which could further reduce the cost below the listed cash price, and they should verify their specific plan's allowed amount before scheduling to ensure they are not inadvertently selecting a higher-tiered network rate.