CT scan, chest (no contrast)
Facility: Regional Medical Center
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $870
- Cash Discount Price: $1,094
- vs. Medicare Baseline: 8.15x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 815% of the Medicare baseline (a markup of 715%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 815% |
Consumer Guidance & Cost Commentary
The cash price for this CT scan, chest (no contrast) procedure at Regional Medical Center in Manchester, IA is $1,094. This facility, a Critical Access Hospital owned by the local government, lists a gross charge of $1,368, while the median negotiated rate for in-network payers is $870 and the median paid amount is $450. For patients with high-deductible plans, paying the cash price of $1,094 upfront may be more cost-effective than relying on insurance, as the negotiated rate of $870 often includes administrative overhead that can exceed the direct cash price.
When comparing this facility's pricing to regional benchmarks, the cash rate of $1,094 is notably higher than the state average of $106.81 for this specific service. While the facility offers a 4-star rating, the significant markup between the Medicare amount of $106.81 and the cash price highlights the importance of verifying self-pay or prompt-pay discounts before scheduling. Patients should contact the billing department at 709 W Main Street to confirm if immediate payment reduces the $1,094 charge, as hospitals often provide fee reductions for upfront payments to bypass costly claims processing.