CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Osmond General Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,184
  • Cash Discount Price: $2,992
  • vs. Medicare Baseline: 20.45x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Osmond General Hospital is $2,184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,992. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.45x the Medicare baseline. Located in 402 North Maple St, Osmond, NE.
Cash / Self-Pay
$2,992

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,184

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: $2,992 (2801%)
Insurance Median: $2,184 (2045%)
Cash: $2,992 (2801% of Medicare)
Ins. Median: $2,184 (2045% 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 2045% of the Medicare baseline (a markup of 1945%). 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
Medica-All Other Plans $1,222 1144%
Total Care Mcaid-All Plans $1,556 1457%
UnitedHealthcare $1,556 - $2,761 1457%
Wellcare Mcaid-All Plans $1,556 1457%
Blue Cross Blue Shield $2,184 - $2,872 2045%
Medica Mcr $2,184 2045%
Tricare $2,184 2045%
Triwest Va-All Plans $2,184 2045%
Coventry First Health $2,812 2633%
Coventry Ppo/Hmo/Pos/Aso - All Other Plans $2,812 2633%
Midlands Choice-All Plans $2,872 2689%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 North Maple St, Osmond, NE 68765
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals