CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Loma Linda University Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $801
  • Cash Discount Price: $1,407
  • vs. Medicare Baseline: 7.50x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Loma Linda University Medical Center is $801. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,407. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.50x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.
Cash / Self-Pay
$1,407

Average discount available for prompt cash payment at this facility.

Insurance Median
$801

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: $1,407 (1317%)
Insurance Median: $801 (750%)
Cash: $1,407 (1317% of Medicare)
Ins. Median: $801 (750% 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 750% of the Medicare baseline (a markup of 650%). 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
Adventist Health $135 - $801 126%
Alpha Care Medical Group $135 - $203 126%
Dignity Health $135 - $203 126%
Epic Health Plan $135 - $1,602 126%
Inland Empire Health Plan (Iehp) $135 - $219 126%
Kaiser Foundation Hospitals $135 - $2,671 126%
UnitedHealthcare $135 - $491 126%
Upland Medical Group $135 126%
Vantage Medical Group $135 - $203 126%
Prime Health Services $143 - $3,404 134%
Center For Health Promotion $145 136%
Riverside University Health System $149 140%
Molina Healthcare Of Ca $181 169%
Heritage Provider Network $222 208%
Lluh Dept Of Risk Management $450 - $801 421%
Blue Shield Of California $892 - $1,365 835%
Blue Cross Blue Shield $1,220 - $1,320 1142%
Global Benefits Group $1,349 - $2,403 1263%
Temecula Valley Physicians Medical Group $1,349 1263%
Trivalley Medical Group $1,349 1263%
Cigna $1,439 - $1,664 1347%
Networks By Design $1,461 - $2,603 1368%
Multiplan $1,686 - $3,004 1579%
Central Health Plan $1,798 - $3,204 1683%
Galaxy Health $1,911 - $3,404 1789%
Health Management Network $2,023 - $3,604 1894%
Aetna $2,364 2213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11234 Anderson St, Loma Linda, CA 92354
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals