CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Washington Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,216
  • Cash Discount Price: $2,036
  • vs. Medicare Baseline: 20.75x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Washington Hospital is $2,216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,036. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.75x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$2,036

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,216

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: $2,036 (1906%)
Insurance Median: $2,216 (2075%)
Cash: $2,036 (1906% of Medicare)
Ins. Median: $2,216 (2075% 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 2075% of the Medicare baseline (a markup of 1975%). 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
Health Net Sr Plus Hmo $148 139%
Blue Cross Blue Shield $149 - $2,594 140%
Aetna $153 - $2,541 143%
Alameda Alliance Mcr Adv $153 143%
Blue Shield Mcr Adv $153 143%
Brand New Day Mcr Adv - All Plans $153 143%
Canopy Mcr Adv $153 143%
Central Hlth Mcr Adv - All Plans $153 143%
Humana $153 - $3,230 143%
Kaiser Mcr Adv $153 143%
On Lok Senior Health Services-All Plans $153 143%
Tricare $153 143%
UnitedHealthcare $153 - $3,103 143%
Va (Triwest Ccn)-All Plans $153 143%
Kaiser Medi-Cal $233 218%
Medi-Cal $233 218%
Health Net/Healthy Family/Aim $535 - $718 501%
Alameda Alliance Ppo-All Other Plans $802 - $1,077 751%
Canopy-All Other Plans $1,364 - $1,831 1277%
Blue Shield Eppo $1,410 - $1,892 1320%
Kaiser - All Other Plans $1,444 - $1,938 1352%
Healthnet Comm - All Other Plans $1,613 - $2,164 1510%
Cigna $1,790 - $2,871 1676%
Blue Shield Hmo $1,800 - $2,416 1685%
Pacific Health Alliance Epo $1,872 - $2,512 1753%
Standford Health Services-All Plans $1,872 - $2,512 1753%
County Of Santa Clara-All Plans $2,006 - $2,692 1878%
Blue Shield Ppo - All Other Plans $2,086 - $2,800 1953%
Pacific Foundation Epo $2,140 - $2,871 2004%
Preferred Health Network-All Plans $2,268 - $3,043 2123%
Corvel-All Plans $2,274 - $3,051 2129%
Interplan B-2 Ppo $2,274 - $3,051 2129%
Masonic Homes Ppo-All Plans $2,274 - $3,051 2129%
Multiplan Ppo-All Plans $2,274 - $3,051 2129%
Pacific Health Alliance Ppo-All Other Plans $2,274 - $3,051 2129%
Interplan B-4 Ppo-All Other Plans $2,354 - $3,159 2204%
Cna (Mailhandlers)-All Plans $2,408 - $3,230 2254%
First Health -All Plans $2,408 - $3,230 2254%
Pacific Foundation Ppo-All Other Plans $2,408 - $3,230 2254%
Phcs/Private Healthcare Systems-All Plans $2,408 - $3,230 2254%
Three Rivers Provider Network-All Plans $2,408 - $3,230 2254%
Beech Street-All Plans $2,541 - $3,410 2379%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Mowry Ave, Fremont, CA 94538
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals