CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Alameda Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $446
Cash Discount Price: $2,301
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Alameda Hospital is $446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,301. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.49x the Medicare baseline. Located in 2070 Clinton Avenue, Alameda, CA.

Cash / Self-Pay

$2,301

Average discount available for prompt cash payment at this facility.

Insurance Median

$446

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: $2,301 (1284%)

Insurance Median: $446 (249%)

Cash: $2,301 (1284% of Medicare)

Ins. Median: $446 (249% 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 249% of the Medicare baseline (a markup of 149%). 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
Kaiser Medi-Cal Managed Care [1026106]	$96	54%
Aetna	$249 - $879	139%
Blue Cross Blue Shield	$249 - $2,867	139%
Brown Toland Medical Group Alternate [1049301]	$249	139%
Brown Toland Medical Group [1049001]	$249	139%
Brown Toland Mgd Mcr Alternate [1802]	$249	139%
Medicare (plans)	$249	139%
Alameda Alliance Commercial Alternate [4801]	$446	249%
Alameda Alliance Mgd Mcal Alternate [2801]	$446	249%
Alameda Alliance Non-Verified [1002303]	$446	249%
Alameda Alliance [1002106]	$446	249%
Alameda Alliance [1002206]	$446	249%
Mc Alameda Alliance Capitation [1002103]	$446	249%
Health Net [1022001]	$873	487%
Cigna	$1,037	579%
UnitedHealthcare	$1,662 - $2,203	927%
Blue Shield [1006001]	$2,434 - $2,867	1358%
Kaiser Commercial [1026001]	$2,991	1669%

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 $2,301.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alameda Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.