CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Jefferson Healthcare

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $275
Cash Discount Price: $393
vs. Medicare Baseline: 2.57x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Jefferson Healthcare is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $393. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.57x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$393

Average discount available for prompt cash payment at this facility.

Insurance Median

$275

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: $393 (368%)

Insurance Median: $275 (257%)

Cash: $393 (368% of Medicare)

Ins. Median: $275 (257% 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 257% of the Medicare baseline (a markup of 157%). 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
Tricare	$50 - $723	47%
Chpw Mcr Adv	$54 - $781	51%
Aetna	$58 - $1,860	54%
Medicare (plans)	$58 - $738	54%
Molina Mcr Adv	$58 - $723	54%
Molina Marketplace-All Other Plans	$63 - $904	59%
Chpw Commercial-All Other Plans	$75 - $1,757	70%
Coord Care Comm/Exchge-All Other Plans	$80 - $1,860	75%
Chpw Mcaid	$83 - $646	78%
Molina Mcaid	$83 - $660	78%
Amerigroup Mcaid-All Plans	$86 - $679	81%
Regence-All Other Plans	$118 - $1,550	110%
Premera-All Plans	$133 - $1,757	125%
Cigna	$141 - $1,860	132%
Coord Care Mcaid Ip/Op Only	$164 - $692	154%
UnitedHealthcare	$275 - $1,158	257%
Coord Care Cascade Ip/Op Only	$442 - $1,860	414%

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 $393.
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 Jefferson Healthcare 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.