CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Washington Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,044
  • Cash Discount Price: $2,878
  • vs. Medicare Baseline: 16.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Washington Hospital is $3,044. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,878. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.99x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$2,878

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,044

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: $2,878 (1606%)
Insurance Median: $3,044 (1699%)
Cash: $2,878 (1606% of Medicare)
Ins. Median: $3,044 (1699% 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 1699% of the Medicare baseline (a markup of 1599%). 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
Kaiser Medi-Cal $248 138%
Medi-Cal $248 138%
Health Net Sr Plus Hmo $249 139%
Blue Cross Blue Shield $250 - $3,199 140%
Aetna $257 - $3,134 143%
Alameda Alliance Mcr Adv $257 143%
Blue Shield Mcr Adv $257 143%
Brand New Day Mcr Adv - All Plans $257 143%
Canopy Mcr Adv $257 143%
Central Hlth Mcr Adv - All Plans $257 143%
Humana $257 - $3,984 143%
Kaiser Mcr Adv $257 143%
On Lok Senior Health Services-All Plans $257 143%
Tricare $257 143%
UnitedHealthcare $257 - $3,827 143%
Va (Triwest Ccn)-All Plans $257 143%
Health Net/Healthy Family/Aim $885 494%
Alameda Alliance Ppo-All Other Plans $1,328 741%
Canopy-All Other Plans $2,258 1260%
Blue Shield Eppo $2,333 1302%
Kaiser - All Other Plans $2,391 1334%
Healthnet Comm - All Other Plans $2,670 1490%
Cigna $2,962 - $3,542 1653%
Blue Shield Hmo $2,979 1662%
Pacific Health Alliance Epo $3,099 1729%
Standford Health Services-All Plans $3,099 1729%
County Of Santa Clara-All Plans $3,320 1853%
Blue Shield Ppo - All Other Plans $3,453 1927%
Pacific Foundation Epo $3,542 1977%
Preferred Health Network-All Plans $3,753 2094%
Corvel-All Plans $3,763 2100%
Interplan B-2 Ppo $3,763 2100%
Masonic Homes Ppo-All Plans $3,763 2100%
Multiplan Ppo-All Plans $3,763 2100%
Pacific Health Alliance Ppo-All Other Plans $3,763 2100%
Interplan B-4 Ppo-All Other Plans $3,896 2174%
Cna (Mailhandlers)-All Plans $3,984 2223%
First Health -All Plans $3,984 2223%
Pacific Foundation Ppo-All Other Plans $3,984 2223%
Phcs/Private Healthcare Systems-All Plans $3,984 2223%
Three Rivers Provider Network-All Plans $3,984 2223%
Beech Street-All Plans $4,206 2347%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Mowry Ave, Fremont, CA 94538
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals