CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Adventist Health Reedley

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $135
  • Cash Discount Price: $346
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Adventist Health Reedley is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.26x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$346

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $346 (324%)
Insurance Median: $135 (126%)
Cash: $346 (324% of Medicare)
Ins. Median: $135 (126% 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.

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
Cigna $27 - $2,235 25%
Blue Shield Mcare $50 - $134 47%
Fhcn Pace Mcr Adv-All Plans $50 - $134 47%
Lasalle Med Assoc Profee Only - All Plans $50 47%
Tricare $50 - $134 47%
UnitedHealthcare $50 - $1,446 47%
Upn Mcr Adv Profee Only $50 47%
Ah Employee Health Plan - All Plans $55 - $242 51%
Community Care Ipa Mcal-All Plans $60 - $303 56%
Kaiser - All Other Plans $68 - $1,720 64%
Kaiser Mcr Adv $68 - $134 64%
Healthnet- All Other Plans $73 - $1,496 68%
Western Growers/Pinnacle- All Plans $75 - $1,582 70%
Blue Shield Epn - All Other Plans $88 - $1,520 82%
Blue Shield Non Epn $93 - $1,761 87%
Blue Cross Blue Shield $102 - $1,463 95%
Bc Mcal $127 - $135 119%
Cal Viva Hlth Mcal - All Plans $127 - $233 119%
Central Ca Alliance Mcal Profee Only $127 119%
Dignity Mcal Op/Profee Only-All Other Plans $127 - $257 119%
Medi-Cal $127 - $233 119%
Upn Mcal Profee Only-All Other Plans $127 119%
Dignity Mcr Adv Op/Profee Only $134 125%
Healthnet- Mcr Adv $134 125%
Phs Prime Health Srvcs $134 125%
Kern Health Systems Mcal-All Plans $159 - $233 149%
Physicians Med Group Op/Profee Only- All Plans $160 - $2,751 150%
Aetna $178 - $2,199 167%
Central Ca Alliance Ccs Profee Only $191 179%
Central Ca Alliance Comm Profee Only - All Other P $191 179%
Central Ca Alliance Chdp Profee Only $200 187%
Bright Health Mcr Adv - All Plans $211 198%
Healthnet Medi-Cal $516 483%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals