CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Valley Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $304
  • Cash Discount Price: $675
  • vs. Medicare Baseline: 2.85x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Valley Medical Center is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $675. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.85x the Medicare baseline. Located in 400 S 43Rd St, Renton, WA.
Cash / Self-Pay
$675

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: $675 (632%)
Insurance Median: $304 (285%)
Cash: $675 (632% 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 $97 - $406 91%
Chpw Med Advantage [210102] $121 113%
Humana $121 - $124 113%
Medicare (plans) $121 - $127 113%
Premera Medadvantage [210114] $121 113%
Regence Medadvantage [210111] $121 113%
Wellpoint Medadvantage [210115] $121 113%
Aetna $123 - $370 115%
Blue Cross Blue Shield $146 - $369 137%
First Choice Health Administrators [150110] $146 - $304 137%
Regence Blue Shield [170100] $160 - $311 150%
Regence Uniform [130111] $162 - $296 152%
Chpw [130116] $194 182%
Molina [130117] $206 193%
Benefit Md [150113] $304 285%
Carpenters Trust [150122] $304 285%
Cement Masons And Plasterers [150127] $304 285%
Coresource [150109] $304 285%
Employee Benefit Management Services [150108] $304 285%
Fc Moda Health [150139] $304 285%
First Choice Health Comp [150112] $304 285%
First Choice [150134] $304 285%
Health Net [150111] $304 285%
Here [150114] $304 285%
Hotel Employees Health Trust [150115] $304 285%
International Longshore & Warehouse Union [150116] $304 285%
Kitsap Physician Services [150118] $304 285%
Loomis Benefits West [150119] $304 285%
Mega [150120] $304 285%
Midwest [150121] $304 285%
Nw Administrators [150123] $304 285%
Operating Engineers [150125] $304 285%
Painters Trust [150126] $304 285%
Puget Sound Electric [150131] $304 285%
Seattle Plumb And Pipe [150132] $304 285%
Trusteed Plan [150101] $304 285%
United Employee Benefit Trust [150137] $304 285%
Washington Bakers Trust [150102] $304 285%
Washington Employers Trust [150103] $304 285%
Washington State Health Ins Pool [150104] $304 285%
Welfare Pension Administration Services [150105] $304 285%
Zenith Admin [150106] $304 285%
Zzjohn Alden [150117] $304 285%
Zzprincipal Financial Group [150128] $304 285%
Zzprovidence [150129] $304 285%
Regence Hma [170105] $311 291%
Regence Hma1 [170102] $311 291%
Cigna $344 322%
Kaiser Washington Non Contracted [140116] $443 415%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 S 43Rd St, Renton, WA 98055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals