CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Riverside Community Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,105
Cash Discount Price: $14,900
vs. Medicare Baseline: 10.35x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Riverside Community Hospital is $1,105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,900. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.35x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.

Cash / Self-Pay

$14,900

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,105

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: $14,900 (13950%)

Insurance Median: $1,105 (1035%)

Cash: $14,900 (13950% of Medicare)

Ins. Median: $1,105 (1035% 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 1035% of the Medicare baseline (a markup of 935%). 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
La Care Health	$133	125%
Molina	$133	125%
Brand New Day	$147	138%
Inland Empire Health Plan	$193	181%
United	$245 - $3,919	229%
Blue Cross Blue Shield	$248 - $721	232%
Blue Shield	$901 - $1,450	844%
Aetna	$1,309	1226%
Medcare Partners	$2,235	2093%
First Health	$6,556 - $13,410	6138%
American Health System	$6,705	6278%
Healthsmart	$11,920	11160%
Multiplan	$11,920 - $12,665	11160%
Next	$11,920	11160%

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 $14,900.
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 Riverside Community 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.