CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Providence St. Jude Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $292
Cash Discount Price: $2,045
vs. Medicare Baseline: 1.63x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Providence St. Jude Medical Center is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,045. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.63x the Medicare baseline. Located in 101 E Valencia Mesa Drive, Fullerton, CA.

Cash / Self-Pay

$2,045

Average discount available for prompt cash payment at this facility.

Insurance Median

$292

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: $2,045 (1141%)

Insurance Median: $292 (163%)

Cash: $2,045 (1141% of Medicare)

Ins. Median: $292 (163% 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.

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
Providence	$192	107%
Aetna	$226 - $1,415	126%
Blue Cross Blue Shield	$236 - $2,977	132%
UnitedHealthcare	$292	163%
Healthnet	$417	233%

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 $2,045.
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 Providence St. Jude 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.