CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,400
Cash Discount Price: $3,091
vs. Medicare Baseline: 13.39x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Sharp Coronado Hospital and Hlthcr Ctr is $2,400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,091. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.39x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$3,091

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,400

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: $3,091 (1725%)

Insurance Median: $2,400 (1339%)

Cash: $3,091 (1725% of Medicare)

Ins. Median: $2,400 (1339% 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 1339% of the Medicare baseline (a markup of 1239%). 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
Blue Cross Blue Shield	$577 - $2,629	322%
UnitedHealthcare	$618 - $2,885	345%
Aetna	$1,224 - $2,761	683%
Community Health Group	$1,224 - $2,761	683%
Health Net	$1,224 - $3,297	683%
Cigna	$1,401 - $3,091	782%
Kaiser	$1,401 - $3,173	782%
Medi-Cal	$1,401	782%
Indian Health Council	$2,060	1150%
Molina	$2,081 - $3,091	1161%
Managed Health Network	$2,328	1299%
Blue Shield	$2,576	1438%
Multiplan	$2,629	1467%
Medicare (plans)	$3,091 - $3,173	1725%
San Diego Pace	$3,173 - $3,297	1771%

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 $3,091.
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 Sharp Coronado Hospital and Hlthcr Ctr 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.