CT scan, chest (no contrast)
Facility: Wilson Medical Center
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $701
- Cash Discount Price: $657
- vs. Medicare Baseline: 6.56x 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 656% of the Medicare baseline (a markup of 556%). 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 | $453 - $876 | 424% |
| Ambetter / Centene | $464 - $876 | 434% |
| UnitedHealthcare | $464 - $815 | 434% |
| Humana | $464 | 434% |
| Aetna | $464 - $876 | 434% |
| Tricare | $464 | 434% |
| Cigna | $701 | 656% |
| Mulitplan-All Plans | $806 | 755% |
| Health Partners-All Plans | $806 | 755% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Wilson Medical Center in Neodesha, KS, the facility's cash median price is $657.00, which is lower than the state average of $701.00. While many insurance plans negotiate rates as high as $876.00, paying cash directly can sometimes result in significant savings, particularly for patients with high-deductible plans where the insurance allowed amount exceeds the cash price. It is important to note that this facility is a Critical Access Hospital owned by the local government, and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not billed the full negotiated rate.
The Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating the facility's pricing markup. The facility's cash rate of $657.00 represents a substantial increase over the Medicare amount, reflecting the costs of local wages and facility operations. If you have insurance, the negotiated rates range from $453.00 to $876.00 depending on your specific plan, with some payers like Humana and Tricare offering a consistent rate of $464.00. To avoid unexpected costs, verify your specific plan's allowed amount and consider requesting an itemized bill if you choose to pay out-of-network, as this allows you to identify any unbundled codes or services not rendered.