CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Cherry County Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,567
  • Cash Discount Price: $2,646
  • vs. Medicare Baseline: 24.03x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Cherry County Hospital is $2,567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,646. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.03x the Medicare baseline. Located in 510 North Green St, Valentine, NE.
Cash / Self-Pay
$2,646

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,567

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: $2,646 (2477%)
Insurance Median: $2,567 (2403%)
Cash: $2,646 (2477% of Medicare)
Ins. Median: $2,567 (2403% 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 2403% of the Medicare baseline (a markup of 2303%). 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
Ambetter / Centene $28 26%
Molina Mcr Adv $1,445 1353%
Molina Mcaid - All Other Plans $1,646 1541%
Blue Cross Blue Shield $2,540 2378%
Midlands Choice-All Plans $2,540 2378%
UnitedHealthcare $2,553 2390%
Avera Aca Ppo $2,567 2403%
Avera Aso Ppo $2,567 2403%
Avera Hmo $2,567 2403%
Avera Non-Aca Ppo - All Other Plans $2,567 2403%
First Choice-All Plans $2,567 2403%
Multiplan-All Plans $2,567 2403%
Phcs-All Plans $2,567 2403%
Tlc Advantage-All Plans $2,567 2403%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 510 North Green St, Valentine, NE 69201
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals