CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Adventist Health Vallejo

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $3,543
  • Cash Discount Price: $1,089
  • vs. Medicare Baseline: 33.17x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Adventist Health Vallejo is $3,543. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,089. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 33.17x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.
Cash / Self-Pay
$1,089

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,543

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: $1,089 (1020%)
Insurance Median: $3,543 (3317%)
Cash: $1,089 (1020% of Medicare)
Ins. Median: $3,543 (3317% 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 3317% of the Medicare baseline (a markup of 3217%). 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 $30 - $6,046 28%
Blue Shield Mcr Adv $50 - $106 47%
Medicare (plans) $50 - $106 47%
Napa County Mcal Child $50 - $106 47%
Tricare $50 - $106 47%
Ah Employee Health Plan-All Plans $55 - $191 51%
Interplan-All Plans $60 - $4,913 56%
Kaiser-All Plans $60 - $6,349 56%
Blue Shield Non-Epn-All Other Plans $61 - $3,507 57%
Aetna $69 - $1,270 65%
UnitedHealthcare $72 - $4,818 67%
Western Growers-All Plans $74 - $4,006 69%
Va Mcr-All Other Plans $106 99%
Phcs-All Plans $123 - $4,157 115%
Medi-Cal $127 - $233 119%
Health Management Network-All Plans $190 - $6,424 178%
Three Rivers-All Plans $201 - $6,802 188%
Va Medi-Cal $233 218%
Blue Cross Blue Shield $1,005 - $1,205 941%
Healthnet-All Plans $1,060 992%
Blue Shield Behav Hlth $2,429 - $3,401 2274%
Blue Shield Epn $2,542 - $3,560 2380%
Choicecare-All Plans $3,779 - $5,291 3538%
Beech Street-All Plans $4,048 - $5,668 3790%
Galaxy Network-All Plans $4,858 - $6,802 4548%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 Oregon St, Vallejo, CA 94590
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric