CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Othello Community Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,633
  • Cash Discount Price: $1,531
  • vs. Medicare Baseline: 15.29x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Othello Community Hospital is $1,633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,531. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.29x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$1,531

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,633

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: $1,531 (1433%)
Insurance Median: $1,633 (1529%)
Cash: $1,531 (1433% of Medicare)
Ins. Median: $1,633 (1529% 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 1529% of the Medicare baseline (a markup of 1429%). 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
Ambetter / Centene $868 - $878 813%
Amerigroup Mcaid $868 813%
Chp Mcaid $868 813%
Cocare - All Plans $868 813%
Gau - All Plans $868 813%
Kaiser - All Plans $868 813%
Molina Mcaid $868 813%
UnitedHealthcare $868 - $2,041 813%
Chp - All Other Plans $878 822%
Molina - All Other Plans $878 822%
Medicare (plans) $1,020 955%
Tricare $1,327 1242%
Triwest - All Plans $1,327 1242%
Asuris - All Plans $1,633 1529%
Commercial Other - All Plans $1,633 1529%
Hma - All Plans $1,633 1529%
Hmso - All Plans $1,633 1529%
Tpsc - All Plans $1,633 1529%
Travelers - All Plans $1,633 1529%
Veterans Admin - All Plans $1,633 1529%
Blue Cross Blue Shield $1,714 1605%
Cigna $1,816 1700%
First Choice - All Plans $1,837 1720%
Aetna $1,919 1797%
Chp Mcr Adv $2,041 1911%
Health Alliance Mcr Adv - All Plans $2,041 1911%
Humana $2,041 1911%
Molina Mcare $2,041 1911%
Wellcare Mcr Adv - All Plans $2,041 1911%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals