CMS Price Transparency Data

CT scan, head (with contrast)

Facility: San Gorgonio Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $236
Cash Discount Price: $1,143
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at San Gorgonio Memorial Hospital is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,143. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.32x the Medicare baseline. Located in 600 North Highland Springs Avenue, Banning, CA.

Cash / Self-Pay

$1,143

Average discount available for prompt cash payment at this facility.

Insurance Median

$236

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: $1,143 (638%)

Insurance Median: $236 (132%)

Cash: $1,143 (638% of Medicare)

Ins. Median: $236 (132% 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.

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
Lasalle Medical Associates	$213	119%
Beaver Medical Group	$224	125%
Blue Cross Blue Shield	$224	125%
Blue Shield	$224	125%
Choice Physicians Network	$224	125%
Inland Empire Health Plan	$224 - $247	125%
Kaiser	$224 - $673	125%
Providence Health Network	$224	125%
Redlands Community Hospital	$224 - $253	125%
UnitedHealthcare	$224	125%
Epic Management	$225 - $236	126%
Easy Choice Health Plan	$236	132%
Velocity	$247	138%
Imperial Health Plan	$254	142%
Health Net	$287 - $628	160%
Heritage Provider Network	$931	520%

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 $1,143.
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 San Gorgonio Memorial 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.