CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Incline Village Community Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $304
  • Cash Discount Price: $1,349
  • vs. Medicare Baseline: 2.85x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Incline Village Community Hospital is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,349. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.85x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.
Cash / Self-Pay
$1,349

Average discount available for prompt cash payment at this facility.

Insurance Median
$304

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: $1,349 (1263%)
Insurance Median: $304 (285%)
Cash: $1,349 (1263% of Medicare)
Ins. Median: $304 (285% 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 285% of the Medicare baseline (a markup of 185%). 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
UnitedHealthcare $43 - $2,142 40%
Medicare (plans) $49 - $928 46%
Healthnet - All Plans $66 - $2,261 62%
Blue Cross Blue Shield $165 - $2,142 154%
Ca Hlth And Wellness - All Plans $216 - $2,428 202%
Aetna $279 - $2,094 261%
Prominence Healthfirst - All Plans $279 - $2,094 261%
Admar Multiplan - All Plans $285 - $2,142 267%
First Health - All Plans $285 - $2,142 267%
Great West/One Health - All Plans $285 - $2,142 267%
Hometown Hp - All Plans $285 - $2,142 267%
Humana $285 - $2,142 267%
Interplan - All Plans $285 - $2,142 267%
Multiplan - All Plans $285 - $2,142 267%
Phcs - All Plans $285 - $2,142 267%
Cigna $292 - $2,190 273%
Beech Street/Capp Care - All Plans $301 - $2,261 282%
Uhn - All Plans $301 - $2,261 282%
Sierra Health - All Plans $307 - $2,309 287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 880 Alder Street, Incline Village, NV 89451
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals