CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Grossmont Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,266
Cash Discount Price: $2,786
vs. Medicare Baseline: 21.22x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Grossmont Hospital is $2,266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,786. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.22x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$2,786

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,266

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,786 (2608%)

Insurance Median: $2,266 (2122%)

Cash: $2,786 (2608% of Medicare)

Ins. Median: $2,266 (2122% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 2122% of the Medicare baseline (a markup of 2022%). 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
Health Net	$27 - $3,640	25%
Cigna	$557 - $2,488	521%
Blue Shield	$1,040 - $1,783	974%
Aetna	$1,103 - $2,563	1033%
Humana	$1,103 - $2,098	1033%
Kaiser	$1,103	1033%
Medicare (plans)	$1,103 - $3,045	1033%
Multiplan	$1,103 - $2,786	1033%
Blue Cross Blue Shield	$1,486 - $3,045	1391%
San Diego Pace	$1,876	1756%
Managed Health Network	$2,043 - $2,600	1913%
Allianz Global Assistance	$2,069	1937%
Medi-Cal	$2,098 - $2,563	1964%
Epic Americas	$2,266	2122%
UnitedHealthcare	$2,370 - $3,045	2219%
Community Health Group	$2,464	2307%
County Medical Services	$2,600	2434%
Molina	$2,600	2434%

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 $2,786.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Grossmont Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.