CMS Price Transparency Data
CT scan, chest (no contrast)
Facility: Children's Hosp of Los Angeles
Billing Code: 71250 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71250
- Insurance Median: $333
- Cash Discount Price: $513
- vs. Medicare Baseline: 3.12x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Children's Hosp of Los Angeles is $333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $513. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.12x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$513
Average discount available for prompt cash payment at this facility.
Insurance Median
$333
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: $513 (480%)
Insurance Median: $333 (312%)
Cash: $513 (480% of Medicare)
Ins. Median: $333 (312% 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 312% of the Medicare baseline (a markup of 212%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Inland Empire Health Plan | $77 - $513 | 72% |
| Medi-Cal | $77 - $334 | 72% |
| Molina | $77 - $513 | 72% |
| Champus | $130 | 122% |
| Medicare (plans) | $132 - $148 | 124% |
| UnitedHealthcare | $134 - $399 | 125% |
| Medicaid / KanCare | $154 - $513 | 144% |
| Shriners Hospital | $154 | 144% |
| Caloptima | $178 - $513 | 167% |
| Beech Street | $205 | 192% |
| Incentive Health Network | $205 | 192% |
| Non-Contract Payors | $205 | 192% |
| Health Net | $214 - $641 | 200% |
| Emanate Health Medical Center Mmc | $231 | 216% |
| Kaiser | $239 - $292 | 224% |
| Adventist Health Physicians | $242 - $513 | 227% |
| Axminster Medical Group | $246 - $678 | 230% |
| Facey Medical Group | $246 - $678 | 230% |
| St. John'S Health Clinic | $246 - $678 | 230% |
| Accarent Health | $256 | 240% |
| Altamed | $256 - $513 | 240% |
| Citrus Valley Phys Grp | $256 - $333 | 240% |
| Exceptional Care Medical Group | $256 - $513 | 240% |
| Gemcare Ipa | $256 | 240% |
| La Care | $256 - $513 | 240% |
| Managed Care Systems | $256 | 240% |
| Mercy Care | $256 | 240% |
| Pioneer Prov Ntwk | $256 | 240% |
| Sansum Clinic | $256 | 240% |
| Staywell Insurance | $256 | 240% |
| Aetna | $266 - $282 | 249% |
| Book Md | $267 - $1,064 | 250% |
| Applecare Medical Group | $272 - $513 | 255% |
| Good Samaritan Medical Group | $272 | 255% |
| Blue Shield | $277 - $513 | 259% |
| Bella Vista Med Grp | $282 - $513 | 264% |
| Centinela Valley Ipa | $282 - $513 | 264% |
| Choice Medical Group | $282 | 264% |
| Community Care | $282 | 264% |
| Culinary Health Fund | $282 - $301 | 264% |
| Global Care Medical Group | $282 - $513 | 264% |
| Health Care La Ipa | $282 - $513 | 264% |
| Intl - Global Excel Management | $282 - $333 | 264% |
| Intl - Global Medical Management | $282 | 264% |
| Intl - Quality Health Management | $282 - $333 | 264% |
| National Healthcare Solutions | $282 | 264% |
| Premier Physicians Ntwk | $282 - $513 | 264% |
| Blue Cross Blue Shield | $299 - $533 | 280% |
| Access Medical Group | $302 - $495 | 283% |
| Seoul Medical Group | $302 - $546 | 283% |
| Alhambra Hospital Medical Center | $308 - $513 | 288% |
| Allied Pacific Ipa | $308 - $513 | 288% |
| Bright Medical Associates | $308 | 288% |
| Delta Health Systems | $308 | 288% |
| Emanate Health Medical Center Commercial | $308 | 288% |
| Family Care Specialists | $308 - $513 | 288% |
| Los Angeles Medical Center Ipa | $308 - $513 | 288% |
| Preferred Ipa - Commercial | $308 | 288% |
| Private Hlthcare System | $308 | 288% |
| Providence Health Network | $308 | 288% |
| Sanus Health | $308 | 288% |
| Self-Pay | $308 | 288% |
| Ventura County Health Plan | $308 | 288% |
| Heritage Provider Network | $309 - $513 | 289% |
| Serra Community Med Clinic | $313 - $513 | 293% |
| Sierra Health And Life Insurance Company | $321 | 301% |
| Intl - Aixin Life Insurance Co | $324 - $333 | 303% |
| Axis Services International | $333 | 312% |
| Calvo Selectcare | $333 | 312% |
| Cedar Sinai Med Grp | $333 | 312% |
| Embassy - Saudi Arabia | $333 | 312% |
| Intl - Concierge Healthcare Services | $333 | 312% |
| Intl - Erv Travel Services | $333 - $359 | 312% |
| Intl - Msh China Enterprise Services | $333 | 312% |
| Lakewood Health Plan | $333 | 312% |
| Marian Health Services | $333 | 312% |
| Plotkin Health | $333 | 312% |
| Prime Health Services | $333 | 312% |
| Redlands Community Hospital | $333 | 312% |
| Seaside Health Plan | $333 - $513 | 312% |
| Serra Community Med Clinic - Commercial | $333 | 312% |
| Star Healthcare Network Commercial | $333 | 312% |
| Community Family Care Ipa | $334 - $513 | 313% |
| Point Comfort Underwriters | $334 | 313% |
| Valley Presbyterian Hospital | $334 - $513 | 313% |
| Angeles Ipa | $359 - $513 | 336% |
| Beaver Medical Group | $359 | 336% |
| Korean American Med Grp | $359 | 336% |
| Memorialcare Med Foundation | $359 | 336% |
| Multiplan | $359 | 336% |
| Primecare Medical Network | $359 | 336% |
| Associated Hispanic Physicians Ipa | $384 - $513 | 360% |
| Embassy - Kuwait | $384 | 360% |
| Hispanic Physician Ipa | $384 - $513 | 360% |
| Interlink Health Services | $384 | 360% |
| Prospect Medical Group | $384 | 360% |
| Embassy - All Others | $410 | 384% |
| Self-Pay International | $410 | 384% |
| Choc Health Alliance | $417 | 390% |
| St Francis Medical Center | $417 - $513 | 390% |
| El Proyecto Del Barrio | $487 - $513 | 456% |
| Watts Healthcare Mmc | $487 - $513 | 456% |
| Hollywood Presbyterian Medical Center | $501 - $513 | 469% |
| Accountable Health | $513 | 480% |
| Asian Community Medical Group | $513 | 480% |
| Avalon Ipa | $513 | 480% |
| Beverly Hospital | $513 | 480% |
| Cal Care Ipa | $513 | 480% |
| California Pacific Physicians Medical Group | $513 | 480% |
| Care 1St | $513 | 480% |
| Cencal Health | $513 | 480% |
| Community Care Ipa Mmc | $513 | 480% |
| Crown City Medical Group | $513 | 480% |
| Dignity Health | $513 | 480% |
| Employee Health Systems Med Grp | $513 | 480% |
| Family Health Alliance Med Grp | $513 | 480% |
| Gold Coast Health Plan | $513 | 480% |
| Healthy New Life Medical Corp | $513 | 480% |
| Imperial Health Holdings Medical Group | $513 | 480% |
| Karing Physicians Medical Group | $513 | 480% |
| Kern Family Health Plan | $513 | 480% |
| Mabuhay Medical Group | $513 | 480% |
| Noble Community Medical Associates | $513 | 480% |
| Pacific Alliance Medical Center | $513 | 480% |
| Preferred Ipa | $513 | 480% |
| Primary Care And Pediatric Ipa | $513 | 480% |
| Regent Medical Group | $513 | 480% |
| San Judas Med Grp | $513 | 480% |
| Serendib Healthways Mmc | $513 | 480% |
| Souther California Hosp System - Mmc | $513 | 480% |
| Southern Atlantic Medical Group Mmc | $513 - $537 | 480% |
| Southland San Gabriel Valley Medical Group | $513 | 480% |
| Superior Choice Medical Group | $513 | 480% |
| White Memorial Medical Center | $513 | 480% |
| Cigna | $1,952 | 1828% |