CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Adventist Health Sonora

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $191
  • Cash Discount Price: $448
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Adventist Health Sonora is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $448. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.79x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$448

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $448 (419%)
Insurance Median: $191 (179%)
Cash: $448 (419% of Medicare)
Ins. Median: $191 (179% 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
Blue Shield Mcare $50 - $144 47%
Central Ca Alliance Mcr Adv Profee Only $50 47%
Healthnet Mcr Adv $50 - $144 47%
Tricare $50 - $144 47%
UnitedHealthcare $50 - $4,359 47%
Ah Employee Health Plan - All Plans $55 - $259 51%
Cigna $62 - $4,816 58%
Greatwest Oa/Pos/Hmo $65 - $4,310 61%
Greatwest Ppo - All Other Plans $65 - $4,563 61%
Healthnet - All Other Plans $73 - $4,441 68%
Western Growers/Pinnacle - All Plans $75 - $2,687 70%
Blue Shield Epn $88 - $3,843 82%
Blue Shield - All Other Plans $93 - $3,853 87%
Bc Mcal $127 119%
Celtic Ca Hlth Well Mcal - All Plans $127 - $322 119%
Central Ca Alliance Mcal $127 - $264 119%
Healthnet Mcal $127 - $347 119%
Medi-Cal $127 - $233 119%
Aetna $144 - $3,885 135%
Phs Prime Health Srvcs-All Plans $144 135%
Beech Street- All Plans $180 - $4,310 169%
Trpn - Three Rivers Ppo - All Plans $180 - $4,056 169%
Central Ca Alliance Ccs Mcal $191 - $264 179%
Central Ca Alliance Comm Profee Only-All Other Pla $191 179%
Central Ca Alliance Chdp Mcal $200 - $264 187%
Bc Exchange $847 793%
Bc Non-Mcs - All Other Plans $941 881%
Bc Mcs $1,129 1057%
Kaiser - All Plans $2,535 2373%
Affordable Health - All Plans $4,563 4272%
Interplan - All Plans $4,563 4272%
Multiplan - All Plans $4,563 4272%
Phcs Ppo - All Plans $4,563 4272%
Stanilaus Foundation - All Plans $4,816 4509%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals