CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Coalinga Regional Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $587
  • Cash Discount Price: $1,761
  • vs. Medicare Baseline: 5.50x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Coalinga Regional Medical Center is $587. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,761. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.50x the Medicare baseline. Located in 1191 Phelps Avenue, Coalinga, CA.
Cash / Self-Pay
$1,761

Average discount available for prompt cash payment at this facility.

Insurance Median
$587

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: $1,761 (1649%)
Insurance Median: $587 (550%)
Cash: $1,761 (1649% of Medicare)
Ins. Median: $587 (550% 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 550% of the Medicare baseline (a markup of 450%). 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
Healthnet Hmo/Ppo - All Other Plans $160 150%
Blue Cross Blue Shield $233 - $587 218%
Healthnet Mcal $233 218%
Medi-Cal $233 218%
Healthnet Mcr Adv $587 550%
Department Of State Hosp - All Plans $763 714%
Healthnet Prison $763 714%
Cigna $2,054 1923%
Aetna $2,495 2336%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1191 Phelps Avenue, Coalinga, CA 93210
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals