CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Klickitat Valley Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $697
Cash Discount Price: $660
vs. Medicare Baseline: 6.53x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Klickitat Valley Hospital is $697. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $660. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.53x the Medicare baseline. Located in 310 South Roosevelt, Goldendale, WA.

Cash / Self-Pay

$660

Average discount available for prompt cash payment at this facility.

Insurance Median

$697

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: $660 (618%)

Insurance Median: $697 (653%)

Cash: $660 (618% of Medicare)

Ins. Median: $697 (653% 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 653% of the Medicare baseline (a markup of 553%). 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
Molina	$151 - $2,171	141%
Community Health Plan Of Wa	$153 - $1,085	143%
Pacificsource Health Plans	$153 - $1,809	143%
Coordinated Care	$154 - $1,092	144%
UnitedHealthcare	$158 - $1,752	148%
Wellpoint	$163 - $1,156	153%
Cigna	$238 - $1,688	223%
Health Net Health Plan Of Oregon	$323 - $2,291	302%
Moda Health Plan	$323 - $2,291	302%
Providence Health Plan	$323 - $2,291	302%

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 $660.
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 Klickitat Valley Hospital 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.