CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Lakewood Health System

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $393
  • Cash Discount Price: $496
  • vs. Medicare Baseline: 3.68x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Lakewood Health System is $393. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $496. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.68x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.
Cash / Self-Pay
$496

Average discount available for prompt cash payment at this facility.

Insurance Median
$393

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: $496 (464%)
Insurance Median: $393 (368%)
Cash: $496 (464% of Medicare)
Ins. Median: $393 (368% 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 368% of the Medicare baseline (a markup of 268%). 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
Ucare Msho/Special Needs $33 - $605 31%
Blue Cross Blue Shield $48 - $588 45%
Humana $48 - $593 45%
Ucare Mcr Adv $48 - $605 45%
UnitedHealthcare $48 - $1,307 45%
Medica Msho/Mcr Adv $51 - $588 48%
Ucare Individual/Family - All Other Plans $77 - $676 72%
Health Partners - All Plans $78 - $1,381 73%
Medica Choice Care $87 - $735 81%
Medica Choice/Focus/Ifb/Mhps - All Other Plans $87 - $1,315 81%
Preferred One Hmo $97 - $1,396 91%
Preferred One Ppo - All Other Plans $103 - $1,396 96%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 49725 County Road 83, Staples, MN 56479
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals