CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,442
Cash Discount Price: $2,870
vs. Medicare Baseline: 13.63x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Sharp Coronado Hospital and Hlthcr Ctr is $2,442. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,870. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.63x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$2,870

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,442

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: $2,870 (1602%)

Insurance Median: $2,442 (1363%)

Cash: $2,870 (1602% of Medicare)

Ins. Median: $2,442 (1363% 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 1363% of the Medicare baseline (a markup of 1263%). 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
UnitedHealthcare	$536 - $2,564	299%
Blue Cross Blue Shield	$574 - $2,296	320%
Aetna	$1,531 - $2,870	854%
Epic Americas	$1,531	854%
Health Net	$1,607 - $2,679	897%
Molina	$1,837 - $2,870	1025%
Cigna	$1,914 - $2,679	1068%
Kaiser	$1,914	1068%
Managed Health Network	$1,914 - $2,870	1068%
Medicare (plans)	$1,914 - $2,679	1068%
Medi-Cal	$2,162	1206%
San Diego Pace	$2,334	1302%
Community Health Group	$2,442 - $2,870	1363%
California Health And Wellness	$2,679	1495%
County Medical Services	$2,679 - $2,870	1495%
Humana	$2,679	1495%
Interplan	$3,062	1709%

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 $2,870.
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 Sharp Coronado Hospital and Hlthcr Ctr 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.