CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: San Luis Valley Regional Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $955
  • Cash Discount Price: $583
  • vs. Medicare Baseline: 8.94x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at San Luis Valley Regional Medical Center is $955. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $583. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.94x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.
Cash / Self-Pay
$583

Average discount available for prompt cash payment at this facility.

Insurance Median
$955

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: $583 (546%)
Insurance Median: $955 (894%)
Cash: $583 (546% of Medicare)
Ins. Median: $955 (894% 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 894% of the Medicare baseline (a markup of 794%). 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
Tricare $107 - $110 100%
Kaiser $110 - $1,335 103%
Triwest $110 103%
Rocky Mountain $135 126%
Uc Health Plan Pb $197 184%
Presbyterian Health Plan $248 232%
Aetna $394 - $1,229 369%
Multiplan Physician $394 369%
Cigna $467 - $1,335 437%
Rocky Mountain Pb $467 437%
Uchpa Phs - Pb $467 437%
Co Choice Healthplan - Lutheran Hosp Assoc $955 894%
Hmo Health Plans $984 921%
UnitedHealthcare $1,234 - $1,293 1155%
Blue Cross Blue Shield $1,236 1157%
Galaxy Health Network $1,236 1157%
Multiplan $1,236 - $1,264 1157%
Humana $1,264 1183%
Pinnacol Assurance $1,307 1224%
Colorado Access $1,328 1243%
Foundation Health Corp $1,335 1250%
Uc Health Plan $1,335 1250%
Uchpa Phs $1,335 1250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 106 Blanca Ave, Alamosa, CO 81101
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals