CT scan, chest (no contrast)
Facility: Stanton County Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,692
- Cash Discount Price: $1,780
- vs. Medicare Baseline: 15.84x 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 1584% of the Medicare baseline (a markup of 1484%). 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 | $456 - $1,692 | 427% |
| Healthy Blue Mcr Adv - All Other Plans | $1,744 | 1633% |
| Healthy Blue Mcaid | $1,780 | 1667% |
Consumer Guidance & Cost Commentary
For the CPT code 71250 (CT scan, chest, no contrast) at Stanton County Hospital in Johnson, KS, the cash price is $1,780.00, which matches the facility's gross charge. This cash rate is significantly higher than the state average for this procedure, as indicated by the 15.8% variance metric provided in the report. While the Medicare benchmark for this service is $106.81, commercial negotiated rates typically range from 200% to 300% of this baseline, meaning the cash price here aligns with the upper end of fair market value rather than a discounted rate. Patients with high-deductible plans should note that paying the full cash price of $1,780.00 upfront may be more cost-effective than using insurance, especially if the insurer's negotiated rate exceeds the cash amount or if the patient has not yet met their deductible.
The facility lists three payers with varying negotiated rates, with Blue Cross Blue Shield showing a range from $456 to $1,692 across three plans, while Healthy Blue plans show fixed rates of $1,744 and $1,780. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates can vary widely even within the same hospital system. If you choose to pay out-of-pocket, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full within a short window. Additionally, ensure you request an itemized bill to review every line item