CMS Price Transparency Data

CT scan, head (no contrast)

Facility: AHMC Seton Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $206
  • Cash Discount Price: $3,190
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at AHMC Seton Medical Center is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,190. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.93x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$3,190

Average discount available for prompt cash payment at this facility.

Insurance Median
$206

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $3,190 (2987%)
Insurance Median: $206 (193%)
Cash: $3,190 (2987% of Medicare)
Ins. Median: $206 (193% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
Blue Cross Blue Shield $32 - $3,029 30%
Hill Physicians Medical Group Inc $88 - $282 82%
Medi-Cal $101 95%
Veterans Administration (Va) $106 99%
San Mateo County/San Mateo County General Hospital $125 117%
North East Medical Services $142 - $149 133%
San Francisco Health Plan $142 133%
Jade Health Care Mg $143 - $152 134%
Aetna $149 - $2,567 140%
Asian American Medical Group $149 - $339 140%
Blue Shield Of California $149 - $2,578 140%
Brand New Day $149 - $190 140%
Brown And Toland Medical Group $149 - $353 140%
Care Advantage $149 140%
Chinese Community Health Plan $149 - $1,994 140%
For Your Benefit $149 140%
Healthnet Seniority $149 140%
Humana $149 140%
Imperial Health Plan $149 140%
Medicare (plans) $149 140%
Pacificare $149 140%
Tricare $151 141%
Apcmg $152 - $228 142%
Canopy Health $152 - $273 142%
Covid-19 Uninsured Program $152 142%
Kaiser $152 - $3,270 142%
UnitedHealthcare $152 - $178 142%
Easy Choice Hospital Services $155 145%
Central Health Plan $161 151%
Ahmc Health $190 178%
Knox-Keene Act $190 178%
Athens Administrators $202 189%
Corvel Healthcare $202 189%
Multiplan/Bce Emergis $202 - $2,991 189%
Work Comp Other $202 189%
Health Plan Of San Mateo Healthworx $226 212%
Health Plan Of San Mateo $257 241%
Cmac $282 264%
Workers Compensation Federal $380 356%
Self Pay $598 - $1,356 560%
Interplan Corporation $2,393 2240%
Cigna $2,792 2614%
Healthcare Foundation Of San Mateo $2,792 - $3,190 2614%
Private Healthcare Sytems Inc $2,991 2800%
The First Health Network $2,991 2800%
Health Net $3,059 2864%
Beech Street Corporation $3,190 2987%
Choicecare Network $3,390 3174%
Multiplan $3,390 3174%
Mills Peninsula Health Services $3,589 3360%
Indemnity $3,988 3734%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals