CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: St Francis Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,242
Cash Discount Price: $2,013
vs. Medicare Baseline: 20.99x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at St Francis Hospital is $2,242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,013. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.99x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$2,013

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,242

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: $2,013 (1885%)

Insurance Median: $2,242 (2099%)

Cash: $2,013 (1885% of Medicare)

Ins. Median: $2,242 (2099% 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 2099% of the Medicare baseline (a markup of 1999%). 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
Wexford	$132	124%
Molina Healthcare	$139 - $617	130%
Meridian Health Plan	$146	137%
Blue Cross Blue Shield	$587 - $643	550%
Clear Spring Health of Illinois	$587	550%
Humana	$587	550%
UnitedHealthcare	$615 - $2,796	576%
Aetna	$615 - $1,966	576%
Amish Community	$783	733%
Celtic Insurance Company	$1,415	1325%
Claim Doc	$1,468	1374%
Hopetrust	$1,608	1505%
Wellfirst	$1,799	1684%
First Health	$2,075	1943%
Caterpillar, Inc.	$2,242	2099%
Cigna	$2,290	2144%
Current Health Solutions	$2,349	2199%
Consociate Group	$2,377	2225%
Multiplan/Phcs	$2,377	2225%
Healthlink	$2,385	2233%
Provider Network of America	$2,516	2356%
Healthcare Finest Network (Hfn)	$2,516	2356%
Healthscope	$2,796	2618%
Naphcare	$2,796	2618%
Interplan	$2,796	2618%
Live360	$2,796	2618%
Health Alliance Medical Plans	$2,796	2618%
Illinois Breast and Cervical Cancer Program	$2,796	2618%

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 $2,013.
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 St Francis Hospital 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.