CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Marshfield Medical Center - Weston

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,355
Cash Discount Price: $1,355
vs. Medicare Baseline: 12.69x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Marshfield Medical Center - Weston is $1,355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,355. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.69x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.

Cash / Self-Pay

$1,355

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,355

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: $1,355 (1269%)

Insurance Median: $1,355 (1269%)

Cash: $1,355 (1269% of Medicare)

Ins. Median: $1,355 (1269% 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 1269% of the Medicare baseline (a markup of 1169%). 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
Family Health Center (Fhc)	$713	668%
Amish/Mennonite	$784	734%
Sanford Health Plan	$784	734%
The Alliance	$1,098 - $1,645	1028%
Group Health Cooperative Of Eau Claire	$1,169 - $1,283	1094%
UnitedHealthcare	$1,178	1103%
Besse Forest Products	$1,212	1135%
Molina Healthcare Of Wi	$1,212	1135%
Rice Lake School District	$1,212	1135%
Wps Health Insurance	$1,262 - $1,376	1182%
Security Health Plan (Shp)	$1,286 - $1,758	1204%
Medica Of Wi	$1,329 - $1,358	1244%
Cigna	$1,340	1255%
Healtheos By Multiplan Inc.	$1,340 - $1,355	1255%
Corvel	$1,355	1269%
First Health	$1,355	1269%
Health Partners	$1,355	1269%
Three Rivers Provider Network (Trpn)	$1,355	1269%
Trilogy	$1,362 - $1,369	1275%
Coventry	$1,369	1282%
Health Smart	$1,369	1282%
Rising Medical Work Comp	$1,383	1295%
Blue Cross Blue Shield	$1,592 - $1,820	1490%

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 $1,355.
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 Marshfield Medical Center - Weston 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.