CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Alhambra Hospital Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $336
  • Cash Discount Price: $4,356
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Alhambra Hospital Medical Center is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,356. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.88x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$4,356

Average discount available for prompt cash payment at this facility.

Insurance Median
$336

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: $4,356 (2431%)
Insurance Median: $336 (188%)
Cash: $4,356 (2431% of Medicare)
Ins. Median: $336 (188% 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

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
Citrus Valley Health Partners $168 94%
La Care Pasc Seiu Misc $168 94%
La Care Medi-Cal Hmo $193 108%
Blue Shield 65 Plus $213 119%
Apa Aco $219 122%
Altamed Senior Services $222 124%
Blue Cross Blue Shield $222 - $396 124%
Brand New Day Sr $222 124%
Central Health Plan Of Ca Senior Hmo $222 124%
Health Net Senior Hmo $222 124%
Medicare (plans) $222 - $2,619 124%
Aetna $226 - $362 126%
Humana $226 126%
La Care Exchange $226 126%
Miscellaneous Senior Hmo $226 126%
Tricare $226 126%
UnitedHealthcare $226 - $292 126%
Wellcare Senior Hmo $226 126%
Alignment Senior Hmo $233 130%
Health Net Salud Con Hmo $274 153%
Molina Exchange $277 155%
Health Net Exchange $278 155%
Miscellaneous Work Comp Hmo $300 167%
Health Net Medi-Cal $330 184%
Kaiser Medi-Cal $330 184%
Medi-Cal $330 184%
Miscellaneous Medi-Cal Hmo $330 184%
Ahmc Health $333 186%
Allied Physicians Of Ca Commercial $338 189%
Ahmc-Reciprocity-Comm/Senior $345 193%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $345 193%
Molina Health Plan $450 251%
Health Net Ppo/Epo/Pos $470 262%
Cigna $940 - $1,513 525%
Self Pay $1,580 - $1,904 882%
Health Net Exchange Enhanced Ppo $1,675 - $2,019 935%
Kaiser Commercial $2,449 - $2,952 1367%
Blue Shield Value Network Exchange $2,690 1501%
Blue Shield Hmo/Ppo $2,999 1674%
Multiplan $3,160 - $3,809 1763%
Miscellaneous Commercial Ppo/Hmo $3,950 - $4,761 2204%
Stewart Mg Senior Hmo $3,950 - $4,761 2204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals