CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: El Centro Regional Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,942
  • Cash Discount Price: $3,172
  • vs. Medicare Baseline: 18.18x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at El Centro Regional Medical Center is $1,942. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,172. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.18x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$3,172

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,942

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: $3,172 (2970%)
Insurance Median: $1,942 (1818%)
Cash: $3,172 (2970% of Medicare)
Ins. Median: $1,942 (1818% 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 1818% of the Medicare baseline (a markup of 1718%). 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.

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
Blue Cross Blue Shield $134 - $4,531 125%
Brand New Day Comm - All Other Plans $134 125%
Brand New Day Mcr $134 125%
Healthnet Mcr Adv $134 125%
Molina Mcr Adv $134 125%
Scp Managed Care - All Plans $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $1,548 125%
Easy Choice Mcr Adv-All Plans $148 139%
Healthnet Hmo $168 157%
Cdcr Correctional-All Plans $174 163%
Blue Shield-All Plans $577 540%
Pacificare-All Plans $1,890 1769%
Aetna $1,994 1867%
Mulitplan Primary - All Other Plans $3,081 2885%
Cigna $3,398 3181%
Multiplan Comp $3,625 3394%
Trident - All Plans $3,851 3605%
Healthnet Comm-All Other Plans $4,078 3818%
Humana $4,214 3945%
Ahccs/Medi-Cal Misc - All Plans $4,531 4242%
Brand New Day Mcal $4,531 4242%
Medi-Cal $4,531 4242%
Molina Exchange - All Other Plans $4,531 4242%
Ambetter / Centene $4,667 4369%
Molina Mcal $4,984 4666%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals