CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Flagstaff Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $251
  • Cash Discount Price: $1,277
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Flagstaff Medical Center is $251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,277. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.40x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$1,277

Average discount available for prompt cash payment at this facility.

Insurance Median
$251

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: $1,277 (713%)
Insurance Median: $251 (140%)
Cash: $1,277 (713% of Medicare)
Ins. Median: $251 (140% 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.

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%
Carefirst $173 97%
Mercy Care Rhba $173 97%
Ahcccs $179 100%
Ahcccs Other $179 100%
Fmc Jail $179 100%
Health Choice Arizona $179 100%
Health Choice Integrated Care $179 100%
Health Net Of Arizona $179 100%
Mercy Care $179 100%
Nhi Out Of State Ahcccs $179 100%
UnitedHealthcare $179 - $2,363 100%
Health Net Federal $187 104%
Aetna $197 - $2,174 110%
Fmc 30/70 $197 110%
Humana $197 - $2,427 110%
Medicare (plans) $197 110%
Mercy Care Advantage $197 110%
Rehabilitation Hospital Of Northern Arizona $197 110%
Snf Fmc $197 110%
Wellcare $197 110%
Wellcare By Allwell $197 110%
Fmc Ihs $200 112%
Ambetter / Centene $227 127%
Nau Athletic Department $250 - $2,044 140%
Naphcare $253 - $401 141%
Pnoa $296 165%
Self Pay $1,277 - $2,555 713%
Self-Pay 50% Discount $1,277 713%
Blue Cross Blue Shield $1,498 - $1,873 836%
Workers Comp $1,661 927%
Copperpoint $1,873 1045%
Cigna $2,299 1283%
Fmc 90/10 $2,299 1283%
Rural Arizona Network Multiplan $2,299 1283%
United Behavioral Health $2,555 1426%
Auto Insurance $5,000 2790%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals