CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Riverside Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,194
Cash Discount Price: $19,649
vs. Medicare Baseline: 6.66x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Riverside Community Hospital is $1,194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,649. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.66x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.

Cash / Self-Pay

$19,649

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,194

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: $19,649 (10965%)

Insurance Median: $1,194 (666%)

Cash: $19,649 (10965% of Medicare)

Ins. Median: $1,194 (666% 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 666% of the Medicare baseline (a markup of 566%). 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
La Care Health	$164	92%
Molina	$164	92%
Brand New Day	$180	100%
Inland Empire Health Plan	$238	133%
Blue Cross Blue Shield	$293 - $942	164%
United	$402 - $5,168	224%
Blue Shield	$1,079 - $1,736	602%
Aetna	$1,309	730%
Medcare Partners	$2,947	1645%
First Health	$8,646 - $17,684	4825%
American Health System	$8,842	4934%
Healthsmart	$15,719	8772%
Multiplan	$15,719 - $16,702	8772%
Next	$15,719	8772%

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 $19,649.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Riverside Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.