CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Northwest Medical Center Sahuarita

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $187
  • Cash Discount Price: $2,328
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Northwest Medical Center Sahuarita is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,328. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.04x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$2,328

Average discount available for prompt cash payment at this facility.

Insurance Median
$187

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: $2,328 (1299%)
Insurance Median: $187 (104%)
Cash: $2,328 (1299% of Medicare)
Ins. Median: $187 (104% 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
Aetna $123 - $184 69%
Medicaid / KanCare $128 - $137 71%
Mercy Care $128 - $184 71%
Blue Cross Blue Shield $184 - $1,095 103%
Cigna $184 - $1,055 103%
Humana $184 103%
Medicare (plans) $184 103%
Node Caremore Mcr Adv $184 103%
Node Mercy Care Mcr Adv $184 103%
UnitedHealthcare $184 - $406 103%
Department Of Veterans Affairs $187 104%
Node Champva $187 104%
Node Non Par Hospice Agree $187 104%
Node Triwest $187 - $200 104%
Node Va $187 104%
Tricare $187 104%
Node Clover Health Mcr Adv $189 105%
Node Devoted Health Mcr Adv $190 106%
Banner Mcr Adv $193 108%
Node Banner Mcr Adv $193 108%
Node Wellcare Mcr Adv $193 108%
Node Us Dept Of Labor $234 131%
Ambetter / Centene $264 147%
Node Health Choice Health Exchange $279 156%
Node Fusion Network $337 188%
Node J Allen Inmate Health Svcs $356 199%
Self Pay $1,470 - $3,186 820%
Coventry Work Comp Al $4,901 2735%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals