CMS Price Transparency Data

CT scan, head (no contrast)

Facility: City of Hope National Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,374
Cash Discount Price: $1,964
vs. Medicare Baseline: 12.86x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at City of Hope National Medical Center is $1,374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,964. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.86x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$1,964

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,374

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,964 (1839%)

Insurance Median: $1,374 (1286%)

Cash: $1,964 (1839% of Medicare)

Ins. Median: $1,374 (1286% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1286% of the Medicare baseline (a markup of 1186%). 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
Health Net	$66 - $1,905	62%
Cal Optima	$79 - $142	74%
Heritage Provider Network	$99 - $1,374	93%
Inland Empire	$99 - $1,571	93%
Prime Healthcare Keenan	$138 - $1,885	129%
Healthcare Partners	$285	267%
UnitedHealthcare	$480 - $1,100	449%
Aetna	$715	669%
Blue Cross Blue Shield	$982 - $1,374	919%
Blue Shield	$1,162 - $2,340	1088%
Blue Shield Covca	$1,194	1118%
Blue Shield Promise	$1,374	1286%
Cencal	$1,571	1471%
La Care Health	$1,571	1471%
Kaiser	$1,767	1654%
Gold Coast	$1,964	1839%
Molina	$1,964 - $2,553	1839%
Cigna	$2,109	1975%
Facey	$2,160	2022%
St. Joseph Heritage	$2,356	2206%
Primecare Medical Network	$2,553	2390%
First Health	$3,024	2831%
Phcs Multiplan	$3,534	3309%

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 $1,964.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm City of Hope National Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.