CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,321
  • Cash Discount Price: $600
  • vs. Medicare Baseline: 12.37x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Hazel Hawkins Memorial Hospital is $1,321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $600. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.37x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
$600

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,321

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: $600 (562%)
Insurance Median: $1,321 (1237%)
Cash: $600 (562% of Medicare)
Ins. Median: $1,321 (1237% 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 1237% of the Medicare baseline (a markup of 1137%). 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
Triwest - All Plans $101 95%
Tricare $105 98%
Blue Cross Blue Shield $197 - $2,650 184%
Blue Shield Mcare $197 - $504 184%
Caremore Med Adv - All Plans $197 - $504 184%
Kaiser Med Adv $197 - $504 184%
Central Hp Med Adv $207 - $529 194%
Kaiser Mcal $233 218%
Medi-Cal $233 218%
Valley Hp Mcal $233 218%
UnitedHealthcare $270 - $1,988 253%
Ccah Mcal - All Plans $373 349%
Valley Hp Covered Ca $545 - $1,391 510%
Valley Hp Preferred $545 - $1,391 510%
Kaiser Comm - All Other Plans $613 - $1,564 574%
Blue Shield Of Ca - All Other Plans $629 - $1,606 589%
Valley Hp Classic - All Other Plans $654 - $1,670 612%
Beech Street Corp Ppo - All Plans $883 - $2,252 827%
Cigna $883 - $2,252 827%
Corvel Ppo - All Plans $883 - $2,252 827%
First Health Ppo - All Plans $883 - $2,252 827%
Great West Ppo - All Plans $883 - $2,252 827%
Nx Health Network - All Plans $883 - $2,252 827%
Interplan Ppo - All Plans $914 - $2,332 856%
Bce Emergis/Multi Ppo - All Plans $935 - $2,385 875%
Healthnet Hmo $935 - $2,385 875%
Healthnet Ppo - All Other Plans $935 - $2,385 875%
Metracomp Wc Ppo - All Plans $935 - $2,385 875%
One Hp Ppo - All Plans $935 - $2,385 875%
Admar Ppo - All Plans $945 - $2,412 885%
Pacific Hlth Alliance - All Plans $955 - $2,438 894%
Ccn Ppo - All Other Plans $987 - $2,518 924%
Choicecare Ppo/Hmo - All Plans $987 - $2,518 924%
Coastal Hlthcre Ppo/Hmo - All Plans $987 - $2,518 924%
Ccn (W/C) $1,038 - $2,650 972%
Central Coast Ppo - All Other Plans $1,038 - $2,650 972%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals