CT scan, chest (no contrast)
Facility: Hodgeman County Health Center
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $1,192
- Cash Discount Price: $1,354
- vs. Medicare Baseline: 11.16x 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 1116% of the Medicare baseline (a markup of 1016%). 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 | $435 - $458 | 407% |
| Humana | $1,084 | 1015% |
| Medicaid / KanCare | $1,084 - $1,693 | 1015% |
| UnitedHealthcare | $1,084 - $1,608 | 1015% |
| Triwest - All Plans | $1,084 | 1015% |
| Aetna | $1,354 | 1268% |
| First Health - All Plans | $1,524 | 1427% |
| Wppa (Provdrscare) - All Plans | $1,608 | 1505% |
| Health Partners - All Plans | $1,608 | 1505% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Hodgeman County Health Center in Jetmore, Kansas, the cash median price is $1,354, while the facility's negotiated rates with insurance payers range from $1,084 to $1,693. It is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be more affordable than using insurance, as the negotiated rates often exceed the cash amount. The facility is a government-owned Critical Access Hospital, and while specific state or county average data was not provided in this report, the cash rate of $1,354 serves as a baseline for comparison against your specific insurance allowed amounts.
Patients should be aware that commercial insurance contracts often result in higher costs than cash payments due to administrative overhead and contract dynamics. For this procedure, the Medicare benchmark rate is $106.81, which is significantly lower than both the cash and negotiated rates, highlighting the substantial markup typical of commercial billing. To minimize costs, we recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since this is an in-network facility, the No Surprises Act protects you from balance billing for out-of-network services, but you should always request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included.