CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Verde Valley Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $401
  • Cash Discount Price: $907
  • vs. Medicare Baseline: 2.24x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Verde Valley Medical Center is $401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $907. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.24x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$907

Average discount available for prompt cash payment at this facility.

Insurance Median
$401

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $907 (506%)
Insurance Median: $401 (224%)
Cash: $907 (506% of Medicare)
Ins. Median: $401 (224% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 224% of the Medicare baseline (a markup of 124%). 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
Devoted $142 - $207 79%
Health Choice $142 - $385 79%
University Of Arizona Health Plans $142 - $217 79%
Va Pccc Triwest $144 - $200 80%
Mercy Care Rhba $173 97%
Health Choice Integrated Care $176 98%
Ahcccs $179 100%
Ahcccs Other $180 100%
Care 1St $180 100%
Health Choice Arizona $180 100%
Health Net Of Arizona $180 100%
Mercy Care $180 100%
Nhi Out Of State Ahcccs $180 100%
UnitedHealthcare $180 - $2,635 100%
Vvmc Jail $180 100%
Health Net Federal $187 104%
Aetna $197 - $2,470 110%
Community Health Center Of Yavapai $197 110%
Humana $197 110%
Medicare (plans) $197 110%
Mercy Care Advantage $197 110%
Snf Vvmc $197 110%
Vvmc 30/70 $197 110%
Wellcare $197 110%
Wellcare By Allwell $197 110%
Ambetter / Centene $227 127%
Gold Kidney $237 132%
Naphcare $253 - $401 141%
Pnoa-Provider Network Of America $301 168%
Self Pay $390 - $2,849 218%
Self-Pay 50% Discount $390 - $1,424 218%
Blue Cross Blue Shield $454 - $2,074 253%
Workers Comp $507 - $1,852 283%
Copperpoint $568 - $2,074 317%
Cigna $702 - $2,564 392%
Vvmc 90/10 $702 - $2,564 392%
Auto Insurance $5,000 2790%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals