CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Capital Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $449
Cash Discount Price: $1,204
vs. Medicare Baseline: 4.20x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Capital Medical Center is $449. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,204. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.20x the Medicare baseline. Located in 3900 Capital Mall Dr Sw, Olympia, WA.

Cash / Self-Pay

$1,204

Average discount available for prompt cash payment at this facility.

Insurance Median

$449

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: $1,204 (1127%)

Insurance Median: $449 (420%)

Cash: $1,204 (1127% of Medicare)

Ins. Median: $449 (420% 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 420% of the Medicare baseline (a markup of 320%). 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
Community Health Plan Of Washington	$87 - $195	81%
Coordinated Care	$89	83%
Molina	$89 - $214	83%
UnitedHealthcare	$89 - $553	83%
Regence	$117	110%
Aetna	$119 - $345	111%
Wellcare	$121	113%
Wellpoint	$129	121%
Premera	$200 - $289	187%
Ambetter / Centene	$214	200%
First Choice	$449 - $713	420%
Kaiser	$568	532%
Pacificsource	$643 - $2,111	602%
Cigna	$1,032 - $2,349	966%
Multiplan/Phcs	$1,341 - $3,345	1256%
First Health	$1,561 - $3,554	1461%

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 $1,204.
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 Capital 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.