CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Medicine Lodge Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $618
  • Cash Discount Price: $650
  • vs. Medicare Baseline: 5.79x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Medicine Lodge Memorial Hospital is $618. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $650. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.79x the Medicare baseline. Located in 710 N Walnut Street, Medicine Lodge, KS.
Cash / Self-Pay
$650

Average discount available for prompt cash payment at this facility.

Insurance Median
$618

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: $650 (609%)
Insurance Median: $618 (579%)
Cash: $650 (609% of Medicare)
Ins. Median: $618 (579% 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 579% of the Medicare baseline (a markup of 479%). 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
Tricare $521 488%
Humana $592 554%
Aetna $602 - $650 564%
UnitedHealthcare $618 579%
Hpk-All Plans $618 579%
Medicaid / KanCare $650 609%

Consumer Guidance & Cost Commentary

For a CT scan of the chest without contrast at Medicine Lodge Memorial Hospital, the cash price is $650.00, which matches the facility's negotiated rate for Medicaid/KanCare and the gross charge. While the median amount paid by commercial payers is $618.00, this is still significantly higher than the Medicare benchmark of $106.81, indicating a substantial markup relative to the federal cost baseline. Patients should note that cash payment may not always be the most economical option; if your insurance plan has a high deductible, the negotiated rate of $618.00 could be lower than your out-of-pocket cash cost, though the cash price remains the baseline for self-pay.

This facility is a Critical Access Hospital in Medicine Lodge, Kansas, and while specific county or state average data was not provided in the current report, the transparent pricing shows a clear range from $521.00 for Tricare to $650.00 for Aetna. To ensure you receive the best possible rate, we recommend requesting a prompt-pay discount if you plan to pay in full upfront, as hospitals often offer 20% to 50% reductions for immediate payment to bypass administrative processing costs. Additionally, always verify your specific plan's allowed amount before scheduling, as in-network contracts vary significantly, and ensure you receive an itemized bill to confirm no unbundled codes or services not rendered are included in your final charge.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N Walnut Street, Medicine Lodge, KS 67104
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals