CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: City of Hope National Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,750
Cash Discount Price: $2,500
vs. Medicare Baseline: 9.77x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at City of Hope National Medical Center is $1,750. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,500. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.77x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$2,500

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,750

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: $2,500 (1395%)

Insurance Median: $1,750 (977%)

Cash: $2,500 (1395% of Medicare)

Ins. Median: $1,750 (977% 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 977% of the Medicare baseline (a markup of 877%). 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	$114 - $2,425	64%
Cal Optima	$134 - $235	75%
Heritage Provider Network	$168 - $1,750	94%
Inland Empire	$168 - $2,000	94%
Prime Healthcare Keenan	$235 - $2,400	131%
Healthcare Partners	$420	234%
Aetna	$715	399%
UnitedHealthcare	$1,079 - $1,400	602%
Blue Cross Blue Shield	$1,250 - $2,006	698%
Blue Shield	$1,480 - $2,980	826%
Blue Shield Covca	$1,520	848%
Blue Shield Promise	$1,750	977%
Cencal	$2,000	1116%
La Care Health	$2,000	1116%
Kaiser	$2,250	1256%
Gold Coast	$2,500	1395%
Molina	$2,500 - $3,250	1395%
Cigna	$2,685	1498%
Facey	$2,750	1535%
St. Joseph Heritage	$3,000	1674%
Primecare Medical Network	$3,250	1814%
First Health	$3,850	2148%
Phcs Multiplan	$4,500	2511%

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 $2,500.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.