CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Great Plains Of Sabetha

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $630
  • Cash Discount Price: $663
  • vs. Medicare Baseline: 5.90x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Great Plains Of Sabetha is $630. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $663. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.90x the Medicare baseline. Located in 603 S 14Th Street, Sabetha, KS.
Cash / Self-Pay
$663

Average discount available for prompt cash payment at this facility.

Insurance Median
$630

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: $663 (621%)
Insurance Median: $630 (590%)
Cash: $663 (621% of Medicare)
Ins. Median: $630 (590% 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 590% of the Medicare baseline (a markup of 490%). 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
Celtic Mcr Adv $345 323%
Aetna $348 - $670 326%
Celtic Comm Exchange-All Other Plans $431 404%
Great West Healthcare-All Plans $564 528%
UnitedHealthcare $617 - $663 578%
Humana $630 590%
Century/Wppa/Providers-All Plans $630 590%
Multiplan-Phcs-All Plans $630 590%
Cigna $630 590%
Federated Mutual Ins-All Plans $636 595%
Blue Cross Blue Shield $663 621%
Medicaid / KanCare $663 621%

Consumer Guidance & Cost Commentary

For the CPT code 71250 (CT scan, chest, no contrast) at Great Plains of Sabetha, the facility's cash price of $663.00 is significantly higher than the state average of $497.00. While the facility's cash rate is the same as its Medicare benchmark of $106.81, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this case, the median negotiated rate across payers is $630.00, which is lower than the cash price, but some specific payer contracts, such as UnitedHealthcare and Blue Cross Blue Shield, list maximum allowed amounts up to $663.00. Patients with high-deductible plans should verify if their specific insurance plan's allowed amount exceeds the cash price, as paying out-of-pocket might result in lower total costs if the insurance reimbursement is insufficient to cover the full cash rate.

To avoid unexpected balance billing, patients should confirm their network status before scheduling, as the No Surprises Act protects against balance billing for out-of-network services at in-network facilities. If a patient chooses to pay directly, they should explicitly request a "self-pay" or "prompt-pay" discount prior to check-in, as hospitals often offer fee reductions for upfront payments that bypass costly insurance claims processing. Furthermore, patients should always demand a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Disputing any discrepancies in writing with the billing supervisor is the most effective way to ensure accuracy and reduce

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 603 S 14Th Street, Sabetha, KS 66534
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals