CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Chinese Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $357
Cash Discount Price: $1,704
vs. Medicare Baseline: 3.34x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Chinese Hospital is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,704. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.34x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$1,704

Average discount available for prompt cash payment at this facility.

Insurance Median

$357

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: $1,704 (1595%)

Insurance Median: $357 (334%)

Cash: $1,704 (1595% of Medicare)

Ins. Median: $357 (334% 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 334% of the Medicare baseline (a markup of 234%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$151 - $1,352	141%
Cchp Mcr Adv	$151	141%
Jade Mcr Adv	$151	141%
Blue Cross Blue Shield	$153 - $233	143%
Jade-All Other Plans	$166	155%
On Lok Mcr Adv-All Plans	$166	155%
Medi-Cal	$233	218%
San Francisco Health Plan- All Plans	$233	218%
Blue Shield - All Other Plans	$261	244%
Hp Of San Mateo Medi-Cal	$287	269%
Hp Of San Mateo Health Kids/Health Worx-All Other	$310	290%
Blue Shield Medi-Cal	$315	295%
Asian Medical Group Medi-Cal Op Only	$327	306%
Health Net-All Plans	$357 - $1,449	334%
Cigna	$371 - $1,504	347%
Jade Medi-Cal	$420	393%
Cchp-All Other Plans	$573 - $2,324	536%
Hp Of San Mateo Mcr Adv	$607 - $2,461	568%
Asian Medical Group Mcare Op Only-All Other Plans	$674 - $2,734	631%
Bay Area Accountable Care Mcare	$674 - $2,734	631%
Bay Area Accountable Care - All Other Plans	$1,213 - $4,921	1136%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,704.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Chinese Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.