CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $597
  • Cash Discount Price: $629
  • vs. Medicare Baseline: 5.59x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Ste Genevieve County Memorial Hospital is $597. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $629. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.59x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.
Cash / Self-Pay
$629

Average discount available for prompt cash payment at this facility.

Insurance Median
$597

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: $629 (589%)
Insurance Median: $597 (559%)
Cash: $629 (589% of Medicare)
Ins. Median: $597 (559% 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 559% of the Medicare baseline (a markup of 459%). 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
Aetna $32 - $1,840 30%
Allwell $32 - $609 30%
Blue Cross Blue Shield $32 - $2,644 30%
Medicare (plans) $32 - $597 30%
Va $32 - $597 30%
Pphp $36 - $687 34%
Ambetter / Centene $39 - $747 37%
Meritain $97 - $1,840 91%
Multiplan/Phcs $107 - $2,031 100%
Medicaid / KanCare $150 140%
Homestate $156 146%
Healthy_Blue $180 169%
Uhc_Community $180 169%
UnitedHealthcare $452 - $1,195 423%
Healthlink_Hmo $472 - $916 442%
Healthlink_Compmanagement $504 - $977 472%
Healthlink_Ppo $504 - $977 472%
Cigna $1,959 1834%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Hwys 61 & 32, Sainte Genevieve, MO 63670
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals