CT scan, chest (no contrast)
Facility: William Newton Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $435
- Cash Discount Price: $1,149
- vs. Medicare Baseline: 4.07x 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 407% of the Medicare baseline (a markup of 307%). 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 |
|---|---|---|
| Triwest- All Plans | $401 | 375% |
| Ambetter / Centene | $414 - $1,149 | 388% |
| Blue Cross Blue Shield | $414 - $456 | 388% |
| UnitedHealthcare | $414 - $1,034 | 388% |
| Providrs Care Nexus | $703 | 658% |
| Providrs Care - All Other Plans | $805 | 754% |
Consumer Guidance & Cost Commentary
For a CT scan of the chest without contrast at William Newton Hospital in Winfield, KS, the cash price is $1,149, which matches the facility's median negotiated rate. This cash price is significantly higher than the state average for this procedure, though specific county averages were not provided in the data. While commercial payers like Ambetter/Centene and UnitedHealthcare negotiate rates ranging from $414 to $1,034, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying cash directly can be more cost-effective than relying on insurance, as the negotiated rate may not reflect the lowest possible cost. Patients should verify their specific plan's deductible status and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total bill by 20% to 50%.
When reviewing your bill, it is crucial to request an itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. The facility's Medicare benchmarking rate is $106.81, which serves as the objective baseline for evaluating pricing; commercial negotiated rates typically average 200% to 300% of this amount, while fair pricing is generally defined as 120% to 150%. If you receive a balance bill for the difference between the chargemaster and your insurance allowed amount, you may be protected under the No Surprises Act for out-of-network services at in-network facilities. To avoid unexpected costs, always dispute any balance bills with your insurer and request a