CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Pawnee County Memorial Hospital

Billing Code: 71250 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$580
about 5.4× the $107 Medicare rate · typically $141–$2,056
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $580 Cash price $1,904 Hospital's list price $2,380

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,642 - $2,261 1537%
Blue Cross Blue Shieldmajor $1,642 - $2,261 1537%
Aetnamajor $1,642 - $2,237 1537%
Ambetter (Centene) $2,213 2072%
Medica $1,642 - $2,285 1537%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 600 I Street, Pawnee City, NE 68420
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals