CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mayers Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,182
Cash Discount Price: $1,529
vs. Medicare Baseline: 11.07x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mayers Memorial Hospital is $1,182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,529. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.07x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$1,529

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,182

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: $1,529 (1432%)

Insurance Median: $1,182 (1107%)

Cash: $1,529 (1432% of Medicare)

Ins. Median: $1,182 (1107% 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 1107% of the Medicare baseline (a markup of 1007%). 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
Blue Shield Ca Va	$48 - $998	45%
Blue Shield Mcr Adv	$48 - $998	45%
Tricare	$48 - $1,051	45%
Health Net Mcr Adv	$50 - $1,051	47%
Arcadian Health Services-All Plans	$53 - $1,051	50%
Imperial Health Plan-All Plans	$57 - $1,187	53%
Medi-Cal	$127 - $233	119%
Cigna	$161 - $1,512	151%
Corvel Ppo-All Plans	$161 - $1,512	151%
Coventry/First Health-All Plans	$161 - $1,512	151%
Integrated Hp-All Plans	$161 - $1,512	151%
Interplan-All Plans	$161 - $1,512	151%
Partnership Hp-All Plans	$933	874%
Blue Cross Blue Shield	$1,019 - $1,361	954%
Health Net Prison	$1,100 - $1,145	1030%
Blue Shield Ca Exchange	$1,307 - $1,361	1224%
Blue Shield-All Other Plans	$1,453 - $1,512	1360%
Hmn-All Plans	$1,453 - $1,512	1360%
Multiplan Phcs-All Plans	$1,453 - $1,512	1360%
Pfmc-All Plans	$1,453 - $1,512	1360%
Superior Ca-All Plans	$1,453 - $1,512	1360%
Health Net-All Other Plans	$1,521 - $1,584	1424%
Pacificare-All Plans	$1,529 - $1,592	1432%

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 $1,529.
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 Mayers Memorial 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.