CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: West Valley Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,898
Cash Discount Price: $2,775
vs. Medicare Baseline: 17.77x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at West Valley Medical Center is $1,898. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,775. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.77x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$2,775

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,898

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: $2,775 (2598%)

Insurance Median: $1,898 (1777%)

Cash: $2,775 (2598% of Medicare)

Ins. Median: $1,898 (1777% 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 1777% of the Medicare baseline (a markup of 1677%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$41 - $3,015	38%
Molina	$41 - $64	38%
Regence	$219	205%
United	$245 - $1,894	229%
Select Health Idaho (Eirmc Only)	$758 - $1,012	710%
Corizon Health	$879 - $1,174	823%
True Blue	$938 - $1,253	878%
Cigna	$1,330 - $1,777	1245%
Pacificsource Health	$1,418 - $1,894	1328%
Moda	$1,480 - $1,977	1386%
St Luke'S Health Partners	$1,544 - $2,063	1446%
Aetna	$1,879 - $2,510	1759%
Four Rivers Hospice	$1,901 - $2,539	1780%
Multiplan	$1,901 - $2,539	1780%
Humana	$1,996 - $2,666	1869%
Geha Ppo Usa	$2,019 - $2,697	1890%
Coventry First Health	$2,138 - $2,856	2002%
St Alphonsus Health	$2,138 - $2,856	2002%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,775.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm West Valley Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.