CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Winkler County Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,562
  • Cash Discount Price: $1,664
  • vs. Medicare Baseline: 14.62x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Winkler County Memorial Hospital is $1,562. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,664. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.62x the Medicare baseline. Located in 821 Jeffee Drive, Kermit, TX.
Cash / Self-Pay
$1,664

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,562

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: $1,664 (1558%)
Insurance Median: $1,562 (1462%)
Cash: $1,664 (1558% of Medicare)
Ins. Median: $1,562 (1462% 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 1462% of the Medicare baseline (a markup of 1362%). 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
Blue Cross Blue Shield $157 - $1,385 147%
UnitedHealthcare $1,055 - $2,131 988%
Aetna $1,319 - $1,811 1235%
Caprock Mcr Adv- All Plans $1,319 - $1,385 1235%
Molina Marketplace - All Other Plans $1,319 - $1,385 1235%
Molina Mcr Adv $1,319 - $1,385 1235%
Superior Mcr Adv - All Other Plans $1,319 - $1,385 1235%
Humana $1,332 - $1,811 1247%
First Care Chip - All Other Plans $2,029 - $2,131 1900%
First Care Star $2,029 - $2,131 1900%
Molina Chip $2,029 - $2,131 1900%
Molina Mcaid $2,029 - $2,131 1900%
Superior Star/Chip $2,029 - $2,131 1900%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 821 Jeffee Drive, Kermit, TX 79745
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals