CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Lucile Salter Packard Children's Hsp at Stanford

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $5,602
  • Cash Discount Price: $5,765
  • vs. Medicare Baseline: 52.45x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Lucile Salter Packard Children's Hsp at Stanford is $5,602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,765. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 52.45x the Medicare baseline. Located in 725 Welch Road, Palo Alto, CA.
Cash / Self-Pay
$5,765

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,602

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: $5,765 (5397%)
Insurance Median: $5,602 (5245%)
Cash: $5,765 (5397% of Medicare)
Ins. Median: $5,602 (5245% 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 5245% of the Medicare baseline (a markup of 5145%). 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
Cigna $4,866 4556%
Aetna $5,431 5085%
Meritain Health $5,431 5085%
Blue Shield $5,602 5245%
Blue Shield Out Of State $5,602 5245%
Health Net $8,000 7490%
Sutter $28,538 26718%
UnitedHealthcare $28,538 26718%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 725 Welch Road, Palo Alto, CA 94304
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens