CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Temecula Valley Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,844
Cash Discount Price: Unavailable
vs. Medicare Baseline: 17.26x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Temecula Valley Hospital is $1,844. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.26x the Medicare baseline. Located in 31700 Temecula Pkwy, Temecula, CA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,844

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%)

Insurance Median: $1,844 (1726%)

Ins. Median: $1,844 (1726% 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 1726% of the Medicare baseline (a markup of 1626%). 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
Heritage	$93	87%
Iehp	$93	87%
Molina	$93	87%
Health_Net	$97 - $1,789	91%
United_Healthcare	$129 - $178	121%
Kaiser	$188 - $1,708	176%
Aetna	$209	196%
Cigna	$1,710 - $2,065	1601%
Primecare	$1,898 - $2,293	1777%
Exclusive_Care	$2,143 - $2,588	2006%
Sharp_Health_Plan	$2,143 - $2,588	2006%
Palomar	$2,238 - $2,703	2095%
Blue_Shield	$2,806	2627%
Multiplan	$4,286 - $5,177	4013%

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 $X.
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 Temecula Valley 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.