CT scan, chest (no contrast)
Facility: Great Plains Of Sabetha
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $630
- Cash Discount Price: $663
- vs. Medicare Baseline: 5.90x 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 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.
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