CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Olympic Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $394
  • Cash Discount Price: $818
  • vs. Medicare Baseline: 3.69x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Olympic Medical Center is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $818. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.69x the Medicare baseline. Located in 939 Caroline St, Port Angeles, WA.
Cash / Self-Pay
$818

Average discount available for prompt cash payment at this facility.

Insurance Median
$394

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: $818 (766%)
Insurance Median: $394 (369%)
Cash: $818 (766% of Medicare)
Ins. Median: $394 (369% 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 369% of the Medicare baseline (a markup of 269%). 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
Coordinated Care $110 103%
Molina $110 - $141 103%
Wellpoint (Formerly Amerigroup) $115 108%
Community Health Plan Of Washington $118 - $1,320 110%
Regence $118 - $1,650 110%
Wellcare $118 110%
UnitedHealthcare $120 - $1,650 112%
Regence Uniform $220 - $922 206%
Ambetter / Centene $355 - $1,568 332%
Cigna $384 - $1,607 360%
Aetna $394 - $1,650 369%
First Choice Network $394 - $1,650 369%
Gmr/Caldera Care $394 - $1,650 369%
Hma $394 - $1,650 369%
Lifewise $394 - $1,650 369%
Premera $394 - $1,650 369%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 939 Caroline St, Port Angeles, WA 98362
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals