CMS Price Transparency Data

CT scan, head (with contrast)

Facility: El Centro Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,719
Cash Discount Price: $2,215
vs. Medicare Baseline: 9.59x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at El Centro Regional Medical Center is $1,719. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,215. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.59x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.

Cash / Self-Pay

$2,215

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,719

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: $2,215 (1236%)

Insurance Median: $1,719 (959%)

Cash: $2,215 (1236% of Medicare)

Ins. Median: $1,719 (959% 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 959% of the Medicare baseline (a markup of 859%). 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
Blue Cross Blue Shield	$225 - $3,164	126%
Brand New Day Comm - All Other Plans	$225	126%
Brand New Day Mcr	$225	126%
Healthnet Mcr Adv	$225	126%
Molina Mcr Adv	$225	126%
Scp Managed Care - All Plans	$225	126%
Tricare	$225	126%
UnitedHealthcare	$225 - $1,548	126%
Easy Choice Mcr Adv-All Plans	$248	138%
Healthnet Hmo	$282	157%
Cdcr Correctional-All Plans	$293	164%
Blue Shield-All Plans	$552	308%
Aetna	$1,392	777%
Pacificare-All Plans	$1,890	1055%
Mulitplan Primary - All Other Plans	$2,152	1201%
Cigna	$2,373	1324%
Multiplan Comp	$2,531	1412%
Trident - All Plans	$2,689	1501%
Healthnet Comm-All Other Plans	$2,848	1589%
Humana	$2,943	1642%
Ahccs/Medi-Cal Misc - All Plans	$3,164	1766%
Brand New Day Mcal	$3,164	1766%
Medi-Cal	$3,164	1766%
Molina Exchange - All Other Plans	$3,164	1766%
Ambetter / Centene	$3,259	1819%
Molina Mcal	$3,480	1942%

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 $2,215.
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 El Centro Regional Medical Center 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.