CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mercy Hospital Logan County

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,531
Cash Discount Price: $1,695
vs. Medicare Baseline: 14.33x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mercy Hospital Logan County is $1,531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,695. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.33x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.

Cash / Self-Pay

$1,695

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,531

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: $1,695 (1587%)

Insurance Median: $1,531 (1433%)

Cash: $1,695 (1587% of Medicare)

Ins. Median: $1,531 (1433% 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 1433% of the Medicare baseline (a markup of 1333%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$71 - $1,531	66%
Humana	$71 - $665	66%
Medicaid / KanCare	$71 - $782	66%
Health Choice Contracted [320166]	$292	273%
Tricare	$647	606%
Blue Cross Blue Shield	$665 - $1,252	623%
Cherokee Nation Health Serv Contracted [320066]	$665	623%
Cross Timbers Hospice [20098]	$665	623%
Dept Of Veteran Affairs Contracted [320106]	$665	623%
Elara Caring Aspire Hospice Contracted [320433]	$665	623%
Elara Caring Aspire Hospice [20433]	$665	623%
Halo Hcr Inc Hospice Contracted [320432]	$665	623%
Halo Hcr Inc Hospice [20432]	$665	623%
Independent Health [20197]	$665	623%
Indian Health Service Contracted [320198]	$665	623%
Kindful Hospice Contracted [320434]	$665	623%
Kindful Hospice [20434]	$665	623%
Medical Associates Health [20444]	$665	623%
Medicare (plans)	$665 - $1,304	623%
Mercy Hospice Okc [20252]	$665	623%
Provider Partners Health Plans Contracted [320450]	$665	623%
Qual Choice Contracted [320325]	$665	623%
Tribute Health Plan Mcr Contracted [320338]	$665	623%
UnitedHealthcare	$665 - $1,826	623%
Globalhealth Contracted [320145]	$679	636%
Cigna	$686 - $2,217	642%
Ambetter / Centene	$782	732%
Home State Health Plan Contracted [320187]	$782	732%
Novasys Contracted [320285]	$782	732%
Webtpa Contracted [320417]	$1,095	1025%
Medica Contracted [320239]	$1,304	1221%
Community Care Contracted [320080]	$1,427	1336%
Aither Health Contracted [320449]	$1,565 - $2,217	1465%
Auxiant Contracted [320462]	$1,565 - $2,217	1465%
Federal Medical Center Contracted [320127]	$1,565	1465%
Healthlink Contracted [320179]	$1,565 - $2,217	1465%
Healthscope Contracted [320182]	$1,565	1465%
Mercy Benefit Admin Contracted [320251]	$1,565 - $2,217	1465%
Point C Contracted [320238]	$1,565	1465%
Preferred Health Plan Contracted [320522]	$1,565	1465%
Quik Trip Contracted [320447]	$1,565	1465%
Show-Me Health Administrators Contracted [320483]	$1,565	1465%
United Medical Resources Contracted [320454]	$1,565 - $1,826	1465%
Osma Health Contracted [320292]	$1,826	1710%
United Behavioral Health Contracted [320390]	$1,826	1710%
Benefit Management Contracted [320052]	$1,956 - $2,347	1831%
Globalhealth Contracted [320144]	$1,956	1831%
Healthcare Highways Plus Contracted [320175]	$1,956	1831%
Private Health Care Systems Contracted [320320]	$1,956 - $2,086	1831%
First Health Contracted [320128]	$2,039	1909%
Multiplan Contracted [320270]	$2,086 - $2,347	1953%
Ebms Contracted [320493]	$2,217	2076%
Imagine 360 Contracted [320494]	$2,217	2076%
Preferred Community Choice Contracted [320311]	$2,217	2076%
Reflect Health Contracted [320492]	$2,217	2076%
Yuzu Health Contracted [320521]	$2,217	2076%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,695.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital Logan County is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.