CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Coastal Communities Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $216
  • Cash Discount Price: $2,785
  • vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Coastal Communities Hospital is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,785. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.02x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$2,785

Average discount available for prompt cash payment at this facility.

Insurance Median
$216

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: $2,785 (2607%)
Insurance Median: $216 (202%)
Cash: $2,785 (2607% of Medicare)
Ins. Median: $216 (202% 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 202% of the Medicare baseline (a markup of 102%). 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
Monarch $114 - $135 107%
Altamed Health Services $127 - $467 119%
Champus $129 121%
Blue Shield $134 - $510 125%
Caloptima $134 - $467 125%
Central Health Plan Of California $134 125%
Champion Health Plan $134 125%
Choice Physicians Network $134 125%
Citizens Choice Health Plan $134 125%
Clever Care Health Plan $134 125%
Easy Choice Health Plan $134 125%
For Your Benefit $134 125%
Health Net $134 - $2,033 125%
Healthcare Partners Sr Hmo $134 125%
Heritage $134 125%
Hollywood Presbyterian $134 - $334 125%
Humana $134 125%
Imperial Health Plan Of Ca $134 125%
Innovative Integrated Health $134 125%
Kaiser $134 - $1,715 125%
Kpc Healthcare Inc $134 - $467 125%
Medcare Partners $134 125%
Onecare $134 125%
Onecare Connect $134 125%
Other Senior Non Contract $134 125%
Prospect Health Plan $134 - $467 125%
Scan Health Plan $134 125%
Self Pay Ab774/Cbo Use Only $134 125%
UnitedHealthcare $134 - $154 125%
Us Dept Of Labor $134 125%
Us Federal Marshall/Department Of Immigration $134 125%
Velocity Provider Network Sr $134 125%
Verda Health Plan Sr $134 125%
Veterans Administration $134 125%
Victim Of Violent Crime $134 125%
Victoria Hospice $134 125%
Monarch Health Plan $144 135%
Brand New Day $150 140%
Prime Health Srvs $154 - $2,228 144%
Coventry Auto Network $161 151%
Prime Health Srvs/Wc $161 151%
Interplan $163 - $2,089 153%
County Of Orange/Custody/Advanced Medmgt $167 156%
Coventry Wc $167 156%
Veterans Evaluation Services $168 157%
Multiplan $175 - $1,950 164%
Three Rivers $175 164%
Velocity National Provider Network Wc $179 168%
Workers Comp State Of California $179 168%
Cigna $182 - $1,810 170%
Staywell/Island Home Ins $188 176%
Three Rivers Network $235 220%
Velocity National Provider Network Ppo $235 220%
Altamed Mcal Hmo (Ancillary) $334 313%
Healthcare Partners $334 313%
Medi-Cal Hmo/Non Contract $334 313%
Medicaid / KanCare $334 313%
Choc Health Alliance $467 437%
County Of Orange $467 437%
Family Choice $467 437%
Heritage Provider Network $467 - $1,671 437%
Aetna $550 515%
Ihhi Reciprocity $836 783%
First Health $1,462 1369%
Magellan $1,671 1564%
Networks By Design $1,950 1826%
Networks By Design Wc $1,950 1826%
Healthsmart $2,089 1956%
Prime Health $2,089 1956%
Pnoa-Provider Network Of America $2,228 2086%
Prime Health Srvs/Network $2,367 2216%
Lucet Behavioral Health Sr $2,785 2607%
Managed Health Network $2,785 2607%
Other Insurance Loa $2,785 2607%
Other Non Contracted Plans $2,785 2607%
Private Pay $2,785 2607%
Us Behavioral Health Plan $2,785 2607%
Vitas Hospice $2,785 2607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2701 S Bristol St, Santa Ana, CA 92704
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals