CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mosaic Life Care at St Joseph

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $983
Cash Discount Price: $2,125
vs. Medicare Baseline: 9.20x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mosaic Life Care at St Joseph is $983. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,125. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.20x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$2,125

Average discount available for prompt cash payment at this facility.

Insurance Median

$983

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: $2,125 (1990%)

Insurance Median: $983 (920%)

Cash: $2,125 (1990% of Medicare)

Ins. Median: $983 (920% 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 920% of the Medicare baseline (a markup of 820%). 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
Aetna	$42 - $2,068	39%
Medicaid / KanCare	$42 - $110	39%
UnitedHealthcare	$42 - $3,525	39%
Blue Cross Blue Shield	$51 - $2,170	48%
Amerigroup Of Iowa	$56 - $257	52%
Iowa Total Care	$56 - $257	52%
Molina Of Iowa	$56 - $257	52%
Centurion	$164 - $1,750	154%
Geha Shared Services	$191 - $2,030	179%
Multiplan	$196 - $2,250	184%
Freedom Select Healthlink	$202 - $2,146	189%
Healthlink Open Access	$202 - $2,146	189%
Preferred Health Professional	$202 - $2,146	189%
Sisco	$202 - $2,146	189%
Ambetter / Centene	$204 - $224	191%
Cigna	$207 - $2,200	194%
Home State Of Missouri	$1,885 - $3,625	1765%
Healthy Blue Of Missouri	$2,314 - $4,450	2166%

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 $2,125.
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 Mosaic Life Care at St Joseph 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.