CMS Price Transparency Data
CT scan, chest (no contrast)
Facility: Gundersen Boscobel Area Hospital and Clinics
Billing Code: 71250 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$780
about 7.3× the $107 Medicare rate · typically $145–$1,901
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $780 Cash price $766 Hospital's list price $1,514
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| Blue Cross Blue Shieldmajor | $239 - $2,313 | 224% |
| Cignamajor | $1,241 | 1162% |
| Humanamajor | $742 - $1,287 | 695% |
| Amerigroup | $46 | 43% |
| UCare | $742 - $1,211 | 695% |
| + 3 smaller / regional plans | $239 - $1,257 |
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Other Procedures at Gundersen Boscobel Area Hospital and Clinics
Compare: CT scan, chest (no contrast) at other WI hospitals
- Memorial Hospital of Lafayette County · Darlington $55
- Black River Memorial Hospital · Black River Falls $63
- Richland Hospital · Richland Center $91
- Fort Memorial Hospital · Fort Atkinson $102
- St Josephs Community Hospital West Bend · West Bend $103
- St Vincent Hospital · Green Bay $103
- Unitypoint Health - Meriter · Madison $103
- Sauk Prairie Hospital · Prairie Du Sac $103
Insurance negotiated median for the same procedure, sorted lowest first.