CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Thedacare Medical Center - Shawano

Billing Code: 71250 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$521
about 4.9× the $107 Medicare rate · typically $195–$812
modeled estimate · not a bill or quote
What this hospital charges insurers
$528
About the fair price
about $7 over the fair price · 4.9× Medicare
Medicare pays $107 Fair price $521 This hospital $528 Cash price $1,094 Hospital's list price $1,954

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $55 Priciest $528

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, chest (no contrast) is about $521 (about 4.9× the $107 Medicare rate). Thedacare Medical Center - Shawano charges insurers about $528, or about $1,094 in cash — about the fair price. Located in Shawano, WI.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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
UnitedHealthcaremajor $181 - $1,857 169%
Blue Cross Blue Shieldmajor $523 - $1,738 490%
Humanamajor $524 491%
HealthPartners $518 485%
+ 2 smaller / regional plans $1,212 - $1,309
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 100 County Rd B, Shawano, WI 54166
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals