CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,908
  • Cash Discount Price: $1,645
  • vs. Medicare Baseline: 17.86x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Intermountain Health Heber Valley Hospital is $1,908. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,645. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.86x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$1,645

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,908

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: $1,645 (1540%)
Insurance Median: $1,908 (1786%)
Cash: $1,645 (1540% of Medicare)
Ins. Median: $1,908 (1786% 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 1786% of the Medicare baseline (a markup of 1686%). 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
Triwest $51 - $1,657 48%
Aetna $502 - $1,935 470%
Awh Connected $533 - $1,963 499%
Blue Cross Blue Shield $533 - $1,941 499%
Byu Athletics $533 - $1,908 499%
Campbell Scientific $533 - $1,908 499%
Cigna $533 - $1,941 499%
Deseret Mutual $533 - $1,941 499%
Emi $533 - $1,941 499%
Emi Health $533 - $1,908 499%
Franklin County $533 - $1,908 499%
Ifit $533 - $1,908 499%
Intermountain Caregiver Plan $533 - $1,941 499%
Juniper Systems $533 - $1,908 499%
Lw Miller $533 - $1,908 499%
Managed Care Admin $533 - $1,908 499%
Motivhealth $533 - $1,908 499%
Pehp $533 - $1,973 499%
Prodegi Corp Benefit $533 - $1,908 499%
Selecthealth $533 - $1,952 499%
Tanner Llc $533 - $1,908 499%
UnitedHealthcare $533 - $1,941 499%
Utah Tech $533 - $1,908 499%
Wise Network $533 - $1,908 499%
American Health $658 616%
Health Partners Of Nevada $658 616%
Health Plan Of Nevada $658 - $1,952 616%
Healthy U $658 - $1,952 616%
Humana $658 616%
Molina $658 - $1,952 616%
Corporation Of The President $1,645 1540%
Corvel Corporation $1,645 1540%
Injury Care Of Nevada $1,645 1540%
Wcf Insurance $1,645 1540%
Byu Risk Management $1,864 1745%
Medcare International $1,864 1745%
Springtide $1,864 1745%
Uofu $1,864 1745%
Global Excel $1,973 1847%
Health Utah $1,973 1847%
Hygeia Corporation $1,973 1847%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals