CT scan, chest (no contrast)
Facility: Minneola District Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $490
- Cash Discount Price: $338
- vs. Medicare Baseline: 4.59x 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 459% of the Medicare baseline (a markup of 359%). 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 |
|---|---|---|
| Humana | $47 - $412 | 44% |
| UnitedHealthcare | $47 - $615 | 44% |
| Va Community Care Program-All Plans | $47 - $412 | 44% |
| Providrs Care Network-All Plans | $110 - $523 | 103% |
| Aetna | $110 - $615 | 103% |
| Medicaid / KanCare | $110 - $615 | 103% |
| Blue Cross Blue Shield | $458 | 429% |
| Corporate Plan Management-All Plans | $523 | 490% |
| Triwest-All Plans | $554 | 519% |
| Preferred Health Care (Coventry)-All Other Plans | $554 | 519% |
| Phc (Coventry) Leased Network | $584 | 547% |
| Health Partners Of Kansas-All Plans | $584 | 547% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Minneola District Hospital, the facility's cash median price is $338, which is lower than the state average for this service. While commercial insurance plans like Humana and UnitedHealthcare negotiate rates ranging from $47 to $615, these amounts are significantly higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the cash price of $338 upfront more cost-effective than relying on insurance, which often results in higher negotiated rates that are only partially covered after deductibles are met. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary widely even within the same facility.
The facility's negotiated rate of $490 sits between the cash price and the highest commercial payer rates, reflecting the typical markup found in healthcare billing. Medicare sets a benchmark of $106.81 for this procedure, indicating that commercial rates can be several times higher than the federal baseline. To minimize costs, patients should inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full before or shortly after the service. Additionally, if you receive an itemized bill, review it carefully to ensure no services were unbundled or charged for items not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit.