CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Brookings Health System

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,421
  • Cash Discount Price: $1,654
  • vs. Medicare Baseline: 22.67x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Brookings Health System is $2,421. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,654. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.67x the Medicare baseline. Located in 300 22Nd Ave, Brookings, SD.
Cash / Self-Pay
$1,654

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,421

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: $1,654 (1549%)
Insurance Median: $2,421 (2267%)
Cash: $1,654 (1549% of Medicare)
Ins. Median: $2,421 (2267% 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 2267% of the Medicare baseline (a markup of 2167%). 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
Medicare (plans) $114 107%
Medica_Choice_Care $169 158%
Medica_Msho $299 280%
Blue Cross Blue Shield $471 441%
Medica $2,421 2267%
Medica_Accessibility_Solution $2,421 2267%
Medica_Selectcare $2,421 2267%
UnitedHealthcare $2,738 2563%
Avera $2,976 2786%
Humana $2,976 2786%
Sanford_Bhcag $3,142 2942%
Multiplan $3,208 3003%
Medicaid / KanCare $3,307 3096%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 22Nd Ave, Brookings, SD 57006
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals