CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Sanford Bagley Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,051
Cash Discount Price: $1,965
vs. Medicare Baseline: 19.20x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Sanford Bagley Medical Center is $2,051. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,965. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.20x the Medicare baseline. Located in 203 4Th Street Northwest, Bagley, MN.

Cash / Self-Pay

$1,965

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,051

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%)

Cash / Self-Pay: $1,965 (1840%)

Insurance Median: $2,051 (1920%)

Cash: $1,965 (1840% of Medicare)

Ins. Median: $2,051 (1920% 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 1920% of the Medicare baseline (a markup of 1820%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ucare	$112 - $2,158	105%
Blue Cross Blue Shield	$353 - $1,213	330%
Sanford Health Plan Align	$1,120	1049%
Health Partners	$1,213 - $1,989	1136%
Medicare (plans)	$1,213	1136%
UnitedHealthcare	$1,213 - $2,051	1136%
Primewest	$1,238 - $1,324	1159%
Aetna	$1,316 - $2,134	1232%
Security Health Plan	$1,351	1265%
Sanford Health Plan	$1,939 - $2,281	1815%
Medica	$2,159 - $2,323	2021%
Cigna	$2,210	2069%
First Choice Health Network	$2,210	2069%
Healthez	$2,210	2069%
Multiplan	$2,210	2069%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,965.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Bagley Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.