CT scan, chest (no contrast)
Facility: Greenwood County Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $782
- Cash Discount Price: $741
- vs. Medicare Baseline: 7.32x 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 732% of the Medicare baseline (a markup of 632%). 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 |
|---|---|---|
| Triwest - All Plans | $331 | 310% |
| Tricare | $389 | 364% |
| UnitedHealthcare | $389 - $778 | 364% |
| Choicecare Mcr Adv - All Plans | $389 | 364% |
| Blue Cross Blue Shield | $430 - $453 | 403% |
| Integrated Health Plan - All Plans | $694 | 650% |
| Beech Street - All Plans | $787 | 737% |
| First Health - All Other Plans | $787 | 737% |
| First Health Ccn Network | $787 | 737% |
| Preferred Hs (Coventry) - All Plans | $833 | 780% |
| Principal Health Care Inc - All Plans | $880 | 824% |
| Medicaid / KanCare | $926 | 867% |
| Amerigroup Mcaid-All Plans | $926 | 867% |
| Providrs Care/Wppa - All Plans | $1,389 | 1300% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Greenwood County Hospital in Eureka, Kansas, the cash price is $741.00, which is lower than the facility's gross charge of $926.00. While the hospital is a Critical Access Hospital with government local ownership, patients should note that insurance negotiated rates vary significantly by plan, ranging from a low of $331 with Triwest to a high of $1,389 with Providrs Care/Wppa. Because commercial rates often include administrative overhead and contract markups, paying cash upfront can sometimes result in a lower total cost than what an insurance plan would allow, especially if the patient has a high deductible. We recommend asking the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the higher administrative costs associated with insurance billing cycles.
The facility's cash rate of $741.00 is notably higher than the state of Kansas average for this procedure, which is approximately $389.00, though it remains below the gross charge. When comparing to Medicare, the commercial cash price represents a markup of 7.3 times the Medicare benchmark of $106.81. It is important to understand that Medicare rates serve as a scientifically validated baseline for the true cost of care, whereas commercial rates often include additional layers of pricing. If you are self-paying, you should request an itemized bill to ensure no errors or unbundled charges are included, as over 80% of hospital bills contain mistakes that can be corrected. Always verify your specific plan's allowed amount, as in-network rates are contractually set ceilings that may differ