CT scan, chest (no contrast)
Facility: St Luke Hospital & Living Center
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $857
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 8.02x 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 802% of the Medicare baseline (a markup of 702%). 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 |
|---|---|---|
| UnitedHealthcare | $857 | 802% |
| Bluestem Pace | $857 | 802% |
| Humana | $857 | 802% |
| Kansas Department Of Health And Environment | $857 | 802% |
| Va Ccn | $857 | 802% |
| Blue Cross Blue Shield | $857 | 802% |
| Ambetter / Centene | $865 | 810% |
Consumer Guidance & Cost Commentary
For this CT scan of the chest (no contrast) at St Luke Hospital & Living Center in Marion, KS, the facility's negotiated rate is $857, which aligns with the lowest and highest rates reported across all seven payers, including UnitedHealthcare and Humana. This specific negotiated amount is significantly higher than the Medicare benchmark of $106.81, reflecting the standard administrative markup inherent in commercial insurance contracts. While the facility is a Critical Access Hospital in Marion, the data does not provide specific county or state average comparisons for this procedure, so the $857 rate should be viewed primarily in relation to the Medicare baseline and the uniformity of the seven payer contracts listed.
Patients should be aware that while the facility offers a cash median of null and a negotiated median of $857, the gross charge is $1,680. Since cash prices are not listed, patients with high-deductible plans might find it beneficial to inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can sometimes reduce the final cost below the insurance negotiated rate. It is important to verify the exact "self-pay" classification before scheduling to ensure the billing system does not automatically submit a claim to insurance, which would void any potential cash discount and result in a balance bill if the insurance allowed amount is lower than the negotiated rate.