CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Scripps Mercy Hospital
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $325
- Cash Discount Price: $1,016
- vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Scripps Mercy Hospital is $325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,016. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.81x the Medicare baseline. Located in 4077 5Th Ave, San Diego, CA.
Cash / Self-Pay
$1,016
Average discount available for prompt cash payment at this facility.
Insurance Median
$325
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: $1,016 (567%)
Insurance Median: $325 (181%)
Cash: $1,016 (567% of Medicare)
Ins. Median: $325 (181% 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 |
|---|---|---|
| Mpmg Mcr Adv [836] | $107 | 60% |
| Mpmg [800] | $107 | 60% |
| Ocn Mcr Adv [890] | $107 | 60% |
| UnitedHealthcare | $107 - $772 | 60% |
| Aetna | $137 - $821 | 76% |
| Cigna | $207 - $244 | 116% |
| Sharp Comm Med Grp [812] | $207 - $821 | 116% |
| Sharp Rees Stealy Med Grp [811] | $207 - $821 | 116% |
| Ucsd [807] | $207 - $821 | 116% |
| Astiva Mcr Adv [464] | $226 | 126% |
| Bc Mcr Adv [830] | $226 | 126% |
| Blue Cross Blue Shield | $226 - $772 | 126% |
| Bs Mcr Adv [829] | $226 | 126% |
| Central Health Mcr Adv [441] | $226 | 126% |
| Clever Care Mcr Adv [465] | $226 | 126% |
| D-Snp Mcr Adv [889] | $226 | 126% |
| Dsnp/Csnp - Generic [458] | $226 | 126% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $226 | 126% |
| Family Health Centers Pace Medi-Cal [555] | $226 | 126% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $226 | 126% |
| Gpmg/Altura - Mcr Adv [888] | $226 | 126% |
| Hn Mcr Adv [832] | $226 | 126% |
| Humana | $226 | 126% |
| Integrated Health Partners - Mcr Adv [895] | $226 | 126% |
| Kaiser Northern Ca Region Mcr Adv [386] | $226 | 126% |
| La Care Mcr Adv Hmo [612] | $226 | 126% |
| Medicare (plans) | $226 | 126% |
| San Diego Pace Medi-Cal [553] | $226 | 126% |
| Scan Mcr Adv [835] | $226 | 126% |
| Scan [500] | $226 | 126% |
| Scan [818] | $226 | 126% |
| Sharp Comm Med Grp Mcr Adv [840] | $226 | 126% |
| Sharp Health Plan Mcr Adv [531] | $226 | 126% |
| Sharp Health Plan Mcr Adv [897] | $226 | 126% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $226 | 126% |
| St Paul'S Pace Medi-Cal [551] | $226 | 126% |
| Ucsd Mcr Adv [873] | $226 | 126% |
| Uh Mcr Adv [831] | $226 | 126% |
| Uh Palomar Health Mcr Adv [885] | $226 | 126% |
| Alignment Health Plan [443] | $232 | 129% |
| Mc Alignment [917] | $244 | 136% |
| Mc Blue Shield Promise Health Plan [914] | $244 | 136% |
| Mc Blue Shield [902] | $244 | 136% |
| Mc Health Net [904] | $244 | 136% |
| Mc Scan [905] | $244 | 136% |
| Mc United [906] | $244 | 136% |
| Radys Cpmg [803] | $325 | 181% |
| Health Net [340] | $359 - $724 | 200% |
| Prime Healthcare [614] | $384 | 214% |
| Prospect Med Group [893] | $395 | 220% |
| Blue Shield [230] | $630 - $683 | 352% |
| Bs [816] | $659 - $683 | 368% |
| Imperial County Phys Med Group [855] | $659 - $703 | 368% |
| Bc [814] | $703 | 392% |
| Integrated Health Partners [894] | $703 | 392% |
| Perlman Med Group [899] | $703 | 392% |
| Hn [815] | $724 | 404% |
| Centivo [581] | $732 | 408% |
| Uh [819] | $772 | 431% |
| Palomar Health [892] | $821 | 458% |
| Veba Med Grp [813] | $821 | 458% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $1,521 - $1,529 | 849% |
| Kaiser [380] | $1,521 - $1,529 | 849% |
| Kaiser [383] | $1,521 - $1,529 | 849% |
| Rady Children'S Hospital [825] | $1,667 | 930% |
| Multi Plan Network [470] | $2,887 | 1611% |
| First Health Network [330] | $3,049 | 1701% |
| Pnoa [615] | $3,049 | 1701% |
| Choice Care Network [270] | $3,252 | 1815% |
| Healthsmart [350] | $3,252 | 1815% |