CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Phoenix Children's Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $658
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.67x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Phoenix Children's Hospital is $658. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.67x the Medicare baseline. Located in 1919 East Thomas Road, Phoenix, AZ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$658

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%)
Insurance Median: $658 (367%)
Ins. Median: $658 (367% 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 367% of the Medicare baseline (a markup of 267%). 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
Ahc Healthchoice $123 69%
Ahc Lcd $129 72%
Ahccs $136 - $235 76%
Ahc Apipa $235 131%
Ahc Care First $235 131%
Ahc Cmdp $235 131%
Ahc Crs $235 131%
Ahc Ihs $235 131%
Ahc Mercy Care $235 131%
Ahc University $259 145%
Selfpay $522 291%
Blue Cross Blue Shield $794 - $1,072 443%
Healthcomp $1,472 821%
Intel $1,472 821%
UnitedHealthcare $1,670 - $1,909 932%
Aetna $1,686 - $2,698 941%
Antidote $2,393 1335%
Cigna $2,562 - $3,482 1430%
Multiplan $2,945 1643%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens