CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Saint Agnes Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $901
  • Cash Discount Price: $1,368
  • vs. Medicare Baseline: 5.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Saint Agnes Medical Center is $901. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,368. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.03x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$1,368

Average discount available for prompt cash payment at this facility.

Insurance Median
$901

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: $1,368 (763%)
Insurance Median: $901 (503%)
Cash: $1,368 (763% of Medicare)
Ins. Median: $901 (503% 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 503% of the Medicare baseline (a markup of 403%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Correctcare Integrated Health $54 30%
Medi-Cal Healthnet $58 - $66 32%
Blue Cross Blue Shield $62 - $1,231 35%
Aetna $221 - $952 123%
Humana $221 - $232 123%
UnitedHealthcare $226 - $738 126%
Medicare (plans) $230 - $232 128%
Welbe Health $232 129%
Align Senior Care $259 145%
Kaiser Permanente $395 220%
Advantek Central Usd $468 261%
Blue Shield - Ca $676 - $1,231 377%
Geha $738 412%
Meritain $901 503%
Trustmark Small Business Benefits $901 503%
Allied Benefit Systems $952 531%
Boon Chapman $952 531%
Hap $952 531%
Webtpa $952 531%
Blue Benefit Administrators Of Massachusetts $1,231 687%
Blue Care Network $1,231 687%
Blue Distinction Transplant $1,231 687%
Blue Shield - Id (Regence) $1,231 687%
Blue Shield - Ny Highmark Northeastern $1,231 687%
Blue Shield - Ny Highmark Western $1,231 687%
Blue Shield - Pa (Highmark) $1,231 687%
Blue Shield - Wa (Regence) $1,231 687%
St Agnes Nicu Valley Childrens Hospital $1,368 763%
Healthnet $1,433 - $1,713 800%
Coventry $1,448 808%
Cba Network By Design $1,578 881%
Network Health $1,578 881%
Allegiance $1,622 905%
American Postal Workers Secondary $1,622 905%
Cigna $1,622 905%
Multiplan $1,767 986%
Phcs $1,767 986%
Interplan $1,894 1057%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals