CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Scott County Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,200
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 11.23x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Scott County Hospital is $1,200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.23x the Medicare baseline. Located in 201 Albert Avenue, Scott City, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,200

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%)
Insurance Median: $1,200 (1123%)
Ins. Median: $1,200 (1123% 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 1123% of the Medicare baseline (a markup of 1023%). 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
UnitedHealthcare $60 - $1,380 56%
Blue Cross Blue Shield $480 449%
Humana $610 571%
Wppa $872 - $1,200 816%
Aetna $1,308 1225%

Consumer Guidance & Cost Commentary

For the CPT code 71250 (CT scan, chest, no contrast) at Scott County Hospital in Scott City, KS, the facility's negotiated rates range from $480 to $1,380 depending on your specific insurance plan. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the data indicates no cash or median paid rates are currently available for this service. It is important to note that cash-pay options can sometimes be cheaper for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price; however, since the cash median is null, you should directly contact the hospital to inquire about self-pay or prompt-pay discounts before scheduling.

The pricing for this procedure is significantly higher than the Medicare benchmark, which stands at $106.81. The facility's negotiated rates average 11.2 times the Medicare amount, reflecting the typical markup found in commercial contracts where administrative costs and claim processing inflate the baseline price. Because this is a shoppable service, patients should verify their specific plan's allowed amount, as rates vary by payer from UnitedHealthcare ($60–$1,380) to Blue Cross Blue Shield ($480). If you receive a bill that exceeds your insurance allowed amount, you may be facing balance billing, though the No Surprises Act generally protects you from such charges for emergency care or non-emergency services from out-of-network providers at in-network facilities.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Albert Avenue, Scott City, KS 67871
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals