CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Perham Health

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $810
  • Cash Discount Price: $1,463
  • vs. Medicare Baseline: 7.58x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Perham Health is $810. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,463. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.58x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.
Cash / Self-Pay
$1,463

Average discount available for prompt cash payment at this facility.

Insurance Median
$810

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: $1,463 (1370%)
Insurance Median: $810 (758%)
Cash: $1,463 (1370% of Medicare)
Ins. Median: $810 (758% 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 758% of the Medicare baseline (a markup of 658%). 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
Medica Mn (Msho) $546 511%
Medica Mn Senior Hp/Outside Mn $546 511%
Blue Cross Blue Shield $705 - $765 660%
Health Partners Mcr Adv $765 716%
Humana $765 716%
Medica Mcr Adv $765 716%
Medicare (plans) $765 - $850 716%
Ucare Mn Senior Health Options $765 716%
UnitedHealthcare $788 - $1,755 738%
Ucare Mn Special Needs Basic Care Dual $803 752%
Ucare Mn Medical Assistance $810 758%
Ucare Mn Minnesota Care $810 758%
Ucare Mn Senior Care Plus $810 758%
Ucare Mn Special Needs Basic Care $810 758%
Medicaid / KanCare $811 759%
Medica Mcaid Mn Care $824 771%
Ucare Individual And Family Plan-All Other Plans $932 873%
Health Partners Minnesota Care $1,125 1053%
Preferred One (Pchp, Pic, Pas)-All Other Plans $1,688 1580%
Health Partners-All Plans $1,845 1727%
Medica Commercial-All Other Plans $1,900 1779%
Preferred One (Ppo) $1,912 1790%
Sanford Health Plan-All Plans $1,912 1790%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Coney Street West, Perham, MN 56573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals