CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Valley Presbyterian Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $724
Cash Discount Price: $3,791
vs. Medicare Baseline: 4.04x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Valley Presbyterian Hospital is $724. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,791. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.04x the Medicare baseline. Located in 15107 Vanowen St, Van Nuys, CA.

Cash / Self-Pay

$3,791

Average discount available for prompt cash payment at this facility.

Insurance Median

$724

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: $3,791 (2116%)

Insurance Median: $724 (404%)

Cash: $3,791 (2116% of Medicare)

Ins. Median: $724 (404% 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 404% of the Medicare baseline (a markup of 304%). 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 Shield Senior	$222	124%
Aetna	$226 - $2,167	126%
Blue Cross Blue Shield	$226 - $502	126%
Health Net Senior	$226	126%
La Care Covered California	$226	126%
Medicare (plans)	$226 - $238	126%
Ambetter / Centene	$319	178%
Heritage Provider Network (Regal & Lakeside)	$351	196%
Health Net	$447 - $676	249%
UnitedHealthcare	$769 - $2,949	429%
Blue Shield Ifp	$804	449%
Cigna	$859	479%
Blue Shield Promise Medi-Cal	$948	529%
Blue Shield	$955	533%
La Care Medi-Cal	$2,275	1270%
Phcs	$2,275	1270%
Coventry Health Care (Ccn)	$2,654	1481%
Beech Street	$2,843	1586%
Multiplan	$3,412	1904%

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 $3,791.
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 Valley Presbyterian 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.