CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Riverside Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,085
Cash Discount Price: $17,358
vs. Medicare Baseline: 6.05x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Riverside Community Hospital is $1,085. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,358. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.05x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.

Cash / Self-Pay

$17,358

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,085

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: $17,358 (9686%)

Insurance Median: $1,085 (605%)

Cash: $17,358 (9686% of Medicare)

Ins. Median: $1,085 (605% 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 605% of the Medicare baseline (a markup of 505%). 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	$137	76%
Molina	$137	76%
Brand New Day	$151	84%
Inland Empire Health Plan	$199	111%
Blue Cross Blue Shield	$261 - $806	146%
United	$402 - $4,565	224%
Blue Shield	$862 - $1,387	481%
Aetna	$1,309	730%
Medcare Partners	$2,604	1453%
First Health	$7,638 - $15,622	4262%
American Health System	$7,811	4359%
Healthsmart	$13,886	7749%
Multiplan	$13,886 - $14,754	7749%
Next	$13,886	7749%

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 $17,358.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.