CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Snoqualmie Valley Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $247
Cash Discount Price: $908
vs. Medicare Baseline: 2.31x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Snoqualmie Valley Hospital is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $908. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.31x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$908

Average discount available for prompt cash payment at this facility.

Insurance Median

$247

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: $908 (850%)

Insurance Median: $247 (231%)

Cash: $908 (850% of Medicare)

Ins. Median: $247 (231% 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 231% of the Medicare baseline (a markup of 131%). 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 Wa Mcd Rep	$81 - $1,337	76%
Medicaid / KanCare	$81 - $1,337	76%
UnitedHealthcare	$81 - $2,634	76%
Amerigroup Wellpoint	$86 - $1,417	81%
Washington Coordinated Care	$87 - $1,444	81%
Molina Healthcare Of Washington Mcd Rep	$89 - $1,444	83%
Aetna	$113 - $1,664	106%
Humana	$114 - $1,219	107%
Blue Shield Of Wa Regence Mcr Adv	$152 - $1,219	142%
Community Health Plan Of Wa	$152 - $1,231	142%
Medicare (plans)	$152 - $1,207	142%
Molina Healthcare Of Washington Mcr Adv	$152 - $1,207	142%
Molina Healthcare Of Washington	$156 - $1,231	146%
Kaiser Foundation Health Plan Of The Northwest	$169 - $1,803	158%
Blue Cross Blue Shield	$187 - $1,718	175%
Blue Shield Of Wa Regence	$190 - $225	178%
First Choice Health Network	$212 - $2,004	198%
Cigna	$214 - $2,291	200%

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 $908.
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 Snoqualmie 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.