CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Memorial Health Care Systems

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,162
  • Cash Discount Price: $1,998
  • vs. Medicare Baseline: 10.88x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Memorial Health Care Systems is $1,162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,998. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.88x the Medicare baseline. Located in 300 North Columbia Ave, Seward, NE.
Cash / Self-Pay
$1,998

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,162

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: $1,998 (1871%)
Insurance Median: $1,162 (1088%)
Cash: $1,998 (1871% of Medicare)
Ins. Median: $1,162 (1088% 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 1088% of the Medicare baseline (a markup of 988%). 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
Molina Mcaid-All Plans $1,079 1010%
Ne Total Care Mcaid-All Plans $1,079 1010%
UnitedHealthcare $1,079 - $1,878 1010%
Beshp Mcr Adv - All Plans $1,139 1066%
Blue Cross Blue Shield $1,139 - $1,898 1066%
Medica Mcare Cost $1,139 1066%
Medica Mcr Adv $1,139 1066%
Tricare $1,139 1066%
Wellcare Mcr Adv - All Plans $1,162 1088%
Phcs Ppo-All Plans $1,898 1777%
Ambetter / Centene $1,918 1796%
Medica Comm-All Other Plans $1,918 1796%
Medica Elevate $1,918 1796%
Midlands Choice-All Plans $1,938 1814%
Aetna $1,958 1833%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 North Columbia Ave, Seward, NE 68434
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals