CMS Price Transparency Data
CT scan, chest (no contrast)
Facility: Scripps Memorial Hospital - Encinitas
Billing Code: 71250 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71250
- Insurance Median: $207
- Cash Discount Price: $525
- vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Scripps Memorial Hospital - Encinitas is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $525. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.94x the Medicare baseline. Located in 354 Santa Fe Drive, Encinitas, CA.
Cash / Self-Pay
$525
Average discount available for prompt cash payment at this facility.
Insurance Median
$207
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: $525 (492%)
Insurance Median: $207 (194%)
Cash: $525 (492% of Medicare)
Ins. Median: $207 (194% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Mpmg Mcr Adv [836] | $77 | 72% |
| Mpmg [800] | $77 | 72% |
| Ocn Mcr Adv [890] | $77 | 72% |
| UnitedHealthcare | $77 - $399 | 72% |
| Aetna | $99 - $424 | 93% |
| Blue Cross Blue Shield | $126 - $399 | 118% |
| Cigna | $126 - $207 | 118% |
| Mc Alignment [917] | $126 | 118% |
| Mc Blue Shield Promise Health Plan [914] | $126 | 118% |
| Mc Blue Shield [902] | $126 | 118% |
| Mc Health Net [904] | $126 | 118% |
| Mc Scan [905] | $126 | 118% |
| Mc United [906] | $126 | 118% |
| Astiva Mcr Adv [464] | $134 | 125% |
| Bc Mcr Adv [830] | $134 | 125% |
| Bs Mcr Adv [829] | $134 | 125% |
| Central Health Mcr Adv [441] | $134 | 125% |
| Clever Care Mcr Adv [465] | $134 | 125% |
| D-Snp Mcr Adv [889] | $134 | 125% |
| Dsnp/Csnp - Generic [458] | $134 | 125% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $134 | 125% |
| Family Health Centers Pace Medi-Cal [555] | $134 | 125% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $134 | 125% |
| Gpmg/Altura - Mcr Adv [888] | $134 | 125% |
| Hn Mcr Adv [832] | $134 | 125% |
| Humana | $134 | 125% |
| Integrated Health Partners - Mcr Adv [895] | $134 | 125% |
| Kaiser Northern Ca Region Mcr Adv [386] | $134 | 125% |
| La Care Mcr Adv Hmo [612] | $134 | 125% |
| Medicare (plans) | $134 | 125% |
| San Diego Pace Medi-Cal [553] | $134 | 125% |
| Scan Mcr Adv [835] | $134 | 125% |
| Scan [500] | $134 | 125% |
| Scan [818] | $134 | 125% |
| Sharp Comm Med Grp Mcr Adv [840] | $134 | 125% |
| Sharp Health Plan Mcr Adv [531] | $134 | 125% |
| Sharp Health Plan Mcr Adv [897] | $134 | 125% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $134 | 125% |
| St Paul'S Pace Medi-Cal [551] | $134 | 125% |
| Ucsd Mcr Adv [873] | $134 | 125% |
| Uh Mcr Adv [831] | $134 | 125% |
| Uh Palomar Health Mcr Adv [885] | $134 | 125% |
| Alignment Health Plan [443] | $138 | 129% |
| Radys Cpmg [803] | $168 | 157% |
| Sharp Comm Med Grp [812] | $207 - $424 | 194% |
| Sharp Rees Stealy Med Grp [811] | $207 - $424 | 194% |
| Ucsd [807] | $207 - $424 | 194% |
| Health Net [340] | $214 - $374 | 200% |
| Prime Healthcare [614] | $229 | 214% |
| Prospect Med Group [893] | $235 | 220% |
| Blue Shield [230] | $325 - $353 | 304% |
| Bs [816] | $340 - $353 | 318% |
| Imperial County Phys Med Group [855] | $340 - $363 | 318% |
| Bc [814] | $363 | 340% |
| Integrated Health Partners [894] | $363 | 340% |
| Perlman Med Group [899] | $363 | 340% |
| Hn [815] | $374 | 350% |
| Centivo [581] | $378 | 354% |
| Uh [819] | $399 | 374% |
| Palomar Health [892] | $424 | 397% |
| Veba Med Grp [813] | $424 | 397% |
| Rady Children'S Hospital [825] | $861 | 806% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $1,196 | 1120% |
| Kaiser [380] | $1,196 | 1120% |
| Kaiser [383] | $1,196 | 1120% |
| Multi Plan Network [470] | $1,490 | 1395% |
| First Health Network [330] | $1,574 | 1474% |
| Pnoa [615] | $1,574 | 1474% |
| Choice Care Network [270] | $1,679 | 1572% |
| Healthsmart [350] | $1,679 | 1572% |