CT scan, chest (no contrast)
Facility: Bob Wilson Memorial Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $2,031
- Cash Discount Price: $995
- vs. Medicare Baseline: 19.02x 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 1902% of the Medicare baseline (a markup of 1802%). 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 |
|---|---|---|
| Centura Employee Plan | $337 | 316% |
| Blue Cross Blue Shield | $641 | 600% |
| Humana | $796 | 745% |
| Aetna | $796 - $1,989 | 745% |
| Kansas Health | $796 | 745% |
| UnitedHealthcare | $796 - $2,074 | 745% |
| Medicare (plans) | $796 | 745% |
| Multiplan | $2,238 - $2,312 | 2095% |
| Health Partners Of Kansas | $2,337 | 2188% |
| Wppa | $2,362 | 2211% |
Consumer Guidance & Cost Commentary
For the CPT code 71250 (CT scan, chest, no contrast), Bob Wilson Memorial Hospital in Ulysses, KS, lists a cash median of $995.00, which is significantly lower than the facility's negotiated rates ranging from $641 to $2,362 depending on the payer. While the facility is a Critical Access Hospital owned by a voluntary non-profit church, patients should be aware that cash payments can sometimes be more cost-effective than using insurance, particularly if the insurance negotiated rate exceeds the cash price. It is important to verify the specific allowed amount with your insurer before scheduling, as in-network rates vary widely across different plans, and to inquire directly about self-pay or prompt-pay discounts that may further reduce the final cost.
When evaluating the financial impact of this service, it is useful to compare the facility's pricing against the Medicare benchmark, which serves as a scientifically validated baseline for healthcare costs. For this procedure, the Medicare amount is $106.81, and the facility's cash rate of $995.00 represents a markup of 19.0% above the Medicare rate, which falls within the range of fair pricing typically defined as 120% to 150% of the Medicare amount. Given that commercial negotiated rates often average 200% to 300% of Medicare, the cash price offered here is notably competitive. Patients are encouraged to request a detailed, itemized billing audit if they receive a summary bill, as over 80% of hospital invoices contain errors that can be corrected to reduce medical debt.