CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Washington Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $2,367
  • Cash Discount Price: $2,237
  • vs. Medicare Baseline: 13.21x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Washington Hospital is $2,367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,237. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.21x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$2,237

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,367

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: $2,237 (1248%)
Insurance Median: $2,367 (1321%)
Cash: $2,237 (1248% of Medicare)
Ins. Median: $2,367 (1321% 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 1321% of the Medicare baseline (a markup of 1221%). 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 $217 121%
Medi-Cal $217 121%
Health Net Sr Plus Hmo $249 139%
Blue Cross Blue Shield $250 - $2,487 140%
Aetna $257 - $2,437 143%
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 - $3,097 143%
Kaiser Mcr Adv $257 143%
On Lok Senior Health Services-All Plans $257 143%
Tricare $257 143%
UnitedHealthcare $257 - $2,975 143%
Va (Triwest Ccn)-All Plans $257 143%
Health Net/Healthy Family/Aim $688 384%
Alameda Alliance Ppo-All Other Plans $1,032 576%
Canopy-All Other Plans $1,755 979%
Blue Shield Eppo $1,814 1012%
Kaiser - All Other Plans $1,858 1037%
Healthnet Comm - All Other Plans $2,075 1158%
Cigna $2,302 - $2,753 1285%
Blue Shield Hmo $2,316 1292%
Pacific Health Alliance Epo $2,409 1344%
Standford Health Services-All Plans $2,409 1344%
County Of Santa Clara-All Plans $2,581 1440%
Blue Shield Ppo - All Other Plans $2,684 1498%
Pacific Foundation Epo $2,753 1536%
Preferred Health Network-All Plans $2,918 1628%
Corvel-All Plans $2,925 1632%
Interplan B-2 Ppo $2,925 1632%
Masonic Homes Ppo-All Plans $2,925 1632%
Multiplan Ppo-All Plans $2,925 1632%
Pacific Health Alliance Ppo-All Other Plans $2,925 1632%
Interplan B-4 Ppo-All Other Plans $3,029 1690%
Cna (Mailhandlers)-All Plans $3,097 1728%
First Health -All Plans $3,097 1728%
Pacific Foundation Ppo-All Other Plans $3,097 1728%
Phcs/Private Healthcare Systems-All Plans $3,097 1728%
Three Rivers Provider Network-All Plans $3,097 1728%
Beech Street-All Plans $3,270 1825%

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