CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Paradise Valley Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $224
  • Cash Discount Price: $224
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Paradise Valley Hospital is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.25x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$224

Average discount available for prompt cash payment at this facility.

Insurance Median
$224

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: $224 (125%)
Insurance Median: $224 (125%)
Cash: $224 (125% of Medicare)
Ins. Median: $224 (125% 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 $164 - $287 92%
Blue Sheid Of Promise $164 92%
County Of San Diego $164 92%
Golden Physicians Medical Group $164 - $281 92%
Health Excel Ins $164 - $224 92%
Heritage Provider Netwrok $164 - $292 92%
Molina $164 - $224 92%
Traditional Medi-Cal $164 92%
UnitedHealthcare $164 - $535 92%
Health Net Of Ca $175 - $328 98%
Community Health Group $197 - $224 110%
Blue Shield Of Ca, Va $224 125%
Ca Foundation For Medical Care $224 125%
Central Health $224 125%
Choice Physicians Network $224 125%
Clever Care Of Golden State, Inc $224 125%
Managed Health Network $224 125%
Medicare (plans) $224 125%
Renal Payer Solutions $224 125%
Tricare $224 125%
Usa Senior Care Network $224 125%
Verda Health Plan $224 125%
Brand New Day $227 - $337 127%
Imperial Health Plan Of Ca $238 133%
Health Net Federal Service (Cdcr) $281 157%
Veterans Evaluation Services $281 157%
Integrated Medical Solutions $296 165%
Worker Comp $296 165%
Ca Dept Of Correction & Rehab $314 175%
Employer Direct Healthcare $314 175%
Naphcare $348 - $449 194%
Scripps Health $382 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals