CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Southwest Health Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,853
Cash Discount Price: $1,802
vs. Medicare Baseline: 17.35x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Southwest Health Center is $1,853. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,802. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.35x the Medicare baseline. Located in 1400 East Side Rd, Platteville, WI.

Cash / Self-Pay

$1,802

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,853

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: $1,802 (1687%)

Insurance Median: $1,853 (1735%)

Cash: $1,802 (1687% of Medicare)

Ins. Median: $1,853 (1735% 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 1735% of the Medicare baseline (a markup of 1635%). 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
Dean Health Plan	$583	546%
Care Wisconsin	$700 - $1,606	655%
Blue Cross Blue Shield	$700 - $2,471	655%
UnitedHealthcare	$724 - $2,026	678%
Quartz	$1,448 - $1,927	1356%
Wps	$1,751 - $1,853	1639%
Cigna	$1,751 - $1,853	1639%
Group Health Cooperative of Sc	$1,868 - $2,150	1749%
Humana	$2,102 - $2,224	1968%
Healthchoice	$2,218 - $2,347	2077%
Group Health Eau Claire	$2,335 - $2,471	2186%
Group Health South Central	$2,335 - $2,471	2186%

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 $1,802.
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 Southwest Health Center 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.