CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Sanford Chamberlain Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,141
Cash Discount Price: $2,307
vs. Medicare Baseline: 20.04x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Sanford Chamberlain Medical Center is $2,141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,307. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.04x the Medicare baseline. Located in 300 S Byron, Chamberlain, SD.

Cash / Self-Pay

$2,307

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,141

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: $2,307 (2160%)

Insurance Median: $2,141 (2004%)

Cash: $2,307 (2160% of Medicare)

Ins. Median: $2,141 (2004% 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 2004% of the Medicare baseline (a markup of 1904%). 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
Sanford Health Plan Align	$986	923%
Ucare	$1,058 - $2,534	991%
Wellmark Sd	$1,058 - $2,509	991%
Aetna	$1,070 - $2,506	1002%
Health Partners	$1,070 - $2,163	1002%
Medicare (plans)	$1,070	1002%
UnitedHealthcare	$1,070 - $2,408	1002%
Primewest	$1,090	1021%
Sanford Health Plan	$1,580 - $2,120	1479%
Security Health Plan	$1,586	1485%
Medica	$2,379 - $2,544	2227%
First Choice Health Network	$2,596	2430%
Healthez	$2,596	2430%
Multiplan	$2,596	2430%

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 $2,307.
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 Sanford Chamberlain Medical Center 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.