CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Crossing Rivers Health Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,290
  • Cash Discount Price: $2,410
  • vs. Medicare Baseline: 21.44x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Crossing Rivers Health Medical Center is $2,290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,410. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.44x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.
Cash / Self-Pay
$2,410

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,290

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: $2,410 (2256%)
Insurance Median: $2,290 (2144%)
Cash: $2,410 (2256% of Medicare)
Ins. Median: $2,290 (2144% 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 2144% of the Medicare baseline (a markup of 2044%). 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
Amerigroup Mcaid-All Other Plans $227 213%
Iowa Total Care Mcaid-All Plans $227 213%
Amerigroup Mcr Adv $1,012 947%
Blue Cross Blue Shield $1,012 - $2,338 947%
Security Hlth Mcr Adv $1,012 947%
UnitedHealthcare $1,012 947%
Humana $1,022 - $2,314 957%
Quartz - All Plans $1,928 1805%
Dean Health Plan - All Plans $2,290 2144%
Medica Comm - All Other Plans $2,290 2144%
Medica Hp Solutions $2,290 2144%
Security Hlth Comm - All Other Plans $2,290 2144%
Health Trad Hp - All Plans $2,314 2166%
Wea Provider Ntwrk - All Plans $2,314 2166%
Cigna $2,338 2189%
First Health - All Plans $2,338 2189%
Geha - All Plans $2,338 2189%
Group Health Co-Op - All Plans $2,338 2189%
Health Partners - All Plans $2,338 2189%
Medical Associates Hp - All Plans $2,338 2189%
Preferred Health Choice - All Plans $2,338 2189%
Wps - All Plans $2,338 2189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37868 Us Hwy 18, Prairie Du Chien, WI 53821
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals