CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Republic County Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,104
  • Cash Discount Price: $900
  • vs. Medicare Baseline: 10.34x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Republic County Hospital is $1,104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $900. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.34x the Medicare baseline. Located in 2420 G Street, Belleville, KS.
Cash / Self-Pay
$900

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,104

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $900 (843%)
Insurance Median: $1,104 (1034%)
Cash: $900 (843% of Medicare)
Ins. Median: $1,104 (1034% of 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 1034% of the Medicare baseline (a markup of 934%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Rural Carriers-All Plans $1,020 955%
Aetna $1,080 1011%
Meritain-All Plans $1,080 1011%
UnitedHealthcare $1,104 1034%
Midlands Choice-All Plans $1,140 1067%
First Health-All Plans $1,140 1067%
Cigna $1,140 1067%

Consumer Guidance & Cost Commentary

For a CT scan of the chest without contrast at Republic County Hospital in Belleville, KS, the facility's cash price of $900 is lower than the average negotiated rate of $1,104 paid by insurance carriers. While the median amount paid by insurers is $1,080, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds $900, as paying out-of-pocket could result in immediate savings. It is important to note that commercial rates often include administrative overhead and contract dynamics that can inflate the baseline price; for context, the Medicare benchmark for this service is $106.81, which serves as a scientifically validated cost baseline to evaluate the facility's markup.

Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services like lab tests are billed separately. To avoid potential errors or double-billing, which affect over 80% of hospital bills, consumers should request a detailed, itemized statement before paying any invoice. Additionally, since the facility offers a prompt-pay discount for upfront payment, patients should explicitly ask the billing department about self-pay or prompt-pay rates prior to scheduling to ensure they are not automatically enrolled in insurance processing that could void a cash discount.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2420 G Street, Belleville, KS 66935
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals