CT scan, chest (no contrast)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $99
- Cash Discount Price: $330
- vs. Medicare Baseline: 0.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $42 - $275 | 39% |
| Medicaid / KanCare | $44 - $140 | 41% |
| Aetna | $44 - $111 | 41% |
| Providrs Care | $69 - $182 | 65% |
| Medicare (plans) | $98 - $100 | 92% |
| Va | $98 | 92% |
| Humana | $98 - $99 | 92% |
| Smarthealth | $138 | 129% |
| Ambetter / Centene | $167 | 156% |
| Tricare | $174 | 163% |
| Blue Cross Blue Shield | $520 - $548 | 487% |
Consumer Guidance & Cost Commentary
For the CPT code 71250, representing a chest CT scan without contrast, the facility's cash price of $330.00 is significantly lower than the gross charge of $825.00. While the facility's cash rate is higher than the state average of $330.00, it remains substantially below the negotiated rates charged by major payers such as Blue Cross Blue Shield, which range from $520.00 to $548.00. This disparity highlights that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly can result in lower total costs compared to relying on insurance, which may trigger balance billing if services are deemed out-of-network or if ancillary services like emergency physicians are not covered under the plan.
Patients should verify their specific plan details before scheduling, as the facility offers a cash price of $330.00, which is notably lower than the median negotiated rate of $99.00 reported for this service. It is important to note that while the facility is a voluntary non-profit in Manhattan, KS, and holds a 4-star rating, the actual amount paid depends heavily on whether the patient utilizes insurance or pays self-pay. To ensure the lowest possible cost, patients are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the bill by bypassing administrative fees and claims processing costs associated with insurance billing.