CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $282
- Cash Discount Price: $6,172
- vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at AHMC Anaheim Regional Medical Center is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,172. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.57x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$6,172
Average discount available for prompt cash payment at this facility.
Insurance Median
$282
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: $6,172 (3444%)
Insurance Median: $282 (157%)
Cash: $6,172 (3444% of Medicare)
Ins. Median: $282 (157% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Msi/Medical Services For Indigents | $52 | 29% |
| Private Pay Flat Rate | $68 | 38% |
| Affiliated Doctors Of Orange County | $150 | 84% |
| Monarch Healthcare Medical Group | $155 | 86% |
| Veterans Administration | $158 | 88% |
| Altamed Health Network | $168 - $222 | 94% |
| Applecare Medical Group | $168 | 94% |
| Beverly Hospital | $168 - $248 | 94% |
| Brand New Day | $168 - $282 | 94% |
| Health Net | $168 | 94% |
| Healthcare Partners | $168 - $222 | 94% |
| Healthy Way La | $168 | 94% |
| Heritage Provider Network | $168 - $305 | 94% |
| Non Contracted Medi-Cal | $168 | 94% |
| Talbert Medical Group | $168 - $410 | 94% |
| Memorial Healthcare Ipa | $200 | 112% |
| Prospect Medical Group | $203 | 113% |
| Alta Los Angeles Hospital | $211 | 118% |
| Prospect Health Plan | $211 - $305 | 118% |
| Tricare | $214 | 119% |
| Aetna | $222 - $1,174 | 124% |
| Aids Health Foundation | $222 - $330 | 124% |
| Alignment Health Plan | $222 | 124% |
| Apa Aco Inc | $222 | 124% |
| Avanti | $222 - $330 | 124% |
| Blue Cross Blue Shield | $222 - $745 | 124% |
| Blue Shield Of California | $222 - $3,305 | 124% |
| California Health Plan | $222 | 124% |
| Caloptima | $222 - $413 | 124% |
| Central Health Of California | $222 | 124% |
| Davita Heatlhcare Partners Plan Inc | $222 - $957 | 124% |
| Healthnet | $222 | 124% |
| Humana | $222 | 124% |
| Kaiser Foundation Hospitals | $222 - $330 | 124% |
| Medicare (plans) | $222 - $400 | 124% |
| Monarch Health Plan | $222 - $4,191 | 124% |
| Pacificare | $222 | 124% |
| Scan Health Plan | $222 | 124% |
| Seoul Medical Group | $222 - $226 | 124% |
| Wellcare | $222 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $226 | 126% |
| Emanate Health | $226 - $330 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $226 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $226 | 126% |
| Self-Pay | $226 | 126% |
| Nchp | $233 | 130% |
| Align Senior Care | $235 | 131% |
| Angels Baseball Workers Comp | $255 | 142% |
| Interplan | $270 - $4,320 | 151% |
| Ahmc Health Self-Insurance Epo | $282 | 157% |
| Knox-Keene Act | $282 | 157% |
| First Health | $291 - $4,938 | 162% |
| Orange County Preferred Provider Organization | $291 - $4,629 | 162% |
| UnitedHealthcare | $292 | 163% |
| Athens Administrators | $300 | 167% |
| Capp Care | $300 - $4,629 | 167% |
| Cigna | $300 - $1,520 | 167% |
| Corvel | $300 - $4,629 | 167% |
| Marriot Intl | $300 | 167% |
| Non Contracted Workers Comp | $300 | 167% |
| Health Net Inc | $330 - $4,740 | 184% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $330 | 184% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $330 | 184% |
| Hollywood Presbyterian Medpoint Mcal | $330 | 184% |
| Medi-Cal | $330 | 184% |
| Medical Safety Net Program | $330 | 184% |
| Ahmc Reciprocity Agreement | $345 | 193% |
| Genesis Healthcare Ipa Ancillary | $413 | 230% |
| Medical Acquisition Company | $425 | 237% |
| Multiplan Inc | $600 | 335% |
| Care First | $630 | 352% |
| Private Healthcare Systems | $810 | 452% |
| Healthcare Partners Commercial | $957 | 534% |
| Huntington Memorial Hospital | $957 | 534% |
| Netcare Life And Health Insurance | $1,543 | 861% |
| Advance Clinical Research Institute | $1,852 | 1033% |
| Choicecare | $3,000 | 1674% |
| Affiliated Health Fund | $4,320 | 2411% |
| Allnet Preferred Provider | $4,320 | 2411% |
| National Provider Network | $4,938 | 2756% |
| Three Rivers Providers Network | $4,938 | 2756% |
| Health Payors Organization | $5,555 | 3100% |
| Non Contracted Commercial | $6,172 | 3444% |