CT scan, chest (no contrast)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $763
- Cash Discount Price: $1,788
- vs. Medicare Baseline: 7.14x 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 714% of the Medicare baseline (a markup of 614%). 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Blue Cross Blue Shield | $531 - $763 | 497% |
| Tricare | $735 | 688% |
| Medicare (plans) | $763 | 714% |
| Humana | $763 | 714% |
| Medadv_Allwell | $763 | 714% |
| Va_Ccn | $763 | 714% |
| Medadv_Uhc | $763 | 714% |
| Aetna | $763 | 714% |
| Ambetter / Centene | $1,202 | 1125% |
| Wppa_Providrscare | $1,979 | 1853% |
| United | $1,984 | 1858% |
| Coventry | $2,265 | 2121% |
| Hpk | $2,265 | 2121% |
| Cigna | $2,265 | 2121% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at Neosho Memorial Regional Medical Center, the cash price is $1,788, while the median amount paid by insurance is $1,645. This facility, a Critical Access Hospital in Chanute, KS, has a negotiated rate of $763 for many payers, which is significantly lower than the gross charge of $2,385. When comparing these rates to the Medicare benchmark of $106.81, the cash price represents a markup of 7.1 times the Medicare rate. While commercial negotiated rates often average 200% to 300% of Medicare, this facility's negotiated rates for several major payers align closer to the fair pricing range of 120% to 150% of the Medicare benchmark, suggesting a more transparent pricing structure than typical commercial markups.
Patients should be aware that paying cash upfront can sometimes result in a lower total cost than using insurance, particularly if the insurance deductible has not yet been met or if the negotiated rate exceeds the cash price. Although the median paid amount is slightly lower than the cash price, the cash rate remains substantially higher than the Medicare baseline, and patients with high-deductible plans might find the cash option more predictable. To maximize savings, it is recommended to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full within a short window. Additionally, since this is a government-owned facility, patients should verify their specific plan's allowed amount before scheduling to ensure they are not subject to balance billing, as federal protections generally prevent