CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Glendale Adventist Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $171
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Glendale Adventist Medical Center is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.60x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $33 (31%)
Insurance Median: $171 (160%)
Cash: $33 (31% of Medicare)
Ins. Median: $171 (160% 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 $30 - $574 28%
Aetna $52 - $1,007 49%
Alignment Hp Mcr Adv - All Plans $52 - $6,061 49%
Blue Shield Mcr Adv $52 - $134 49%
Caremore Mcr Adv - All Plans $52 - $514 49%
Clever Care Mcr Adv - All Plans $52 - $134 49%
Healthcare Partners- All Plans $52 - $644 49%
La Care Mcr Adv- All Plans $52 - $2,000 49%
Molina Mcr $52 - $134 49%
Scan Mcr Adv - All Plans $52 - $2,500 49%
Tricare $52 - $134 49%
UnitedHealthcare $52 - $2,455 49%
Blue Cross Blue Shield $55 - $1,230 51%
Ah Employee Health Plan - All Plans $58 - $242 54%
Heritage Commercial - All Other Plans $63 - $294 59%
Heritage Sr $63 - $263 59%
Regal Medical Group Commercial - All Other Plans $63 - $161 59%
Dept Of State Hsp Metropolitan- All Plans $68 - $175 64%
Molina Exchange - All Other Plans $71 - $182 66%
Healthnet Mcr Adv $74 - $8,607 69%
Healthnet - All Other Plans $76 - $1,674 71%
Western Growers/Pinnacle - All Plans $78 - $2,606 73%
Centivo - All Plans $79 - $303 74%
Blue Shield Epn - All Other Plans $88 - $2,230 82%
Blue Shield Non Epn $93 - $2,570 87%
First Health- All Plans $122 - $3,515 114%
Bc Medi-Cal $127 - $131 119%
Blue Shield Medi-Cal $127 - $583 119%
Medi-Cal $127 - $233 119%
Molina Mcal $127 - $233 119%
Regal Med Group Mcal $134 125%
Heritage Mcal $135 - $247 126%
Phcs- All Plans $136 - $3,940 127%
Healthnet Mcal $152 - $278 142%
Corvel- All Plans $168 - $4,849 157%
Health Mgmt Network - All Plans $178 - $5,152 167%
Kaiser - All Plans $178 - $5,152 167%
Phys Assoc Op Only- All Plans $180 169%
Employers Health Network - All Plans $300 281%
Beech Street - All Plans $4,546 4256%
Choicecare - All Plans $4,546 4256%
Three Rivers - All Plans $5,152 4824%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals