CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Adventist Health Clearlake

Billing Code: 71250 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,041
about 9.7× the $107 Medicare rate · typically $195–$1,702
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,675
Above the fair price
about $634 over the fair price · 15.7× Medicare
Medicare pays $107 Fair price $1,041 This hospital $1,675 Cash price $1,453 Hospital's list price $4,036

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $1,675

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, chest (no contrast) is about $1,041 (about 9.7× the $107 Medicare rate). Adventist Health Clearlake charges insurers about $1,675, or about $1,453 in cash — above the fair price. Located in Clearlake, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,041. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $814 - $3,793 762%
Blue Cross Blue Shieldmajor $740 - $2,288 693%
Aetnamajor $2,633 - $3,398 2465%
Cignamajor $3,172 - $4,093 2970%
Humanamajor $2,995 - $3,866 2804%
Kaiser Permanentemajor $740 - $4,093 693%
Health Net $2,890 - $3,729 2706%
+ 6 smaller / regional plans $233 - $7,504
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 15630 18Th Ave - Hwy 53, Clearlake, CA 95422
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals