CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Grossmont Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,843
Cash Discount Price: $2,138
vs. Medicare Baseline: 17.25x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Grossmont Hospital is $1,843. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,138. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.25x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$2,138

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,843

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: $2,138 (2002%)

Insurance Median: $1,843 (1725%)

Cash: $2,138 (2002% of Medicare)

Ins. Median: $1,843 (1725% 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 1725% of the Medicare baseline (a markup of 1625%). 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
Humana	$180 - $1,197	169%
Medicare (plans)	$180	169%
UnitedHealthcare	$386 - $1,426	361%
Health Net	$428 - $1,924	401%
California Health And Wellness	$880	824%
Managed Health Network	$969 - $1,996	907%
Aetna	$1,140 - $2,794	1067%
Allianz Global Assistance	$1,368	1281%
Blue Shield	$1,588 - $2,566	1487%
County Medical Services	$1,611	1508%
Epic Americas	$1,711 - $1,819	1602%
Molina	$1,819 - $2,281	1703%
Kaiser	$1,867	1748%
Blue Cross Blue Shield	$1,870 - $2,566	1751%
Multiplan	$1,996	1869%
San Diego Pace	$2,138	2002%
Cigna	$2,195	2055%
Community Health Group	$2,281	2136%

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 $2,138.
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 Grossmont 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.