CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: AHMC Seton Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $330
  • Cash Discount Price: $4,286
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at AHMC Seton Medical Center is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,286. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.84x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$4,286

Average discount available for prompt cash payment at this facility.

Insurance Median
$330

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: $4,286 (2392%)
Insurance Median: $330 (184%)
Cash: $4,286 (2392% of Medicare)
Ins. Median: $330 (184% 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
Blue Cross Blue Shield $53 - $4,069 30%
Hill Physicians Medical Group Inc $150 - $330 84%
Medi-Cal $168 94%
Veterans Administration (Va) $178 99%
San Mateo County/San Mateo County General Hospital $207 116%
Jade Health Care Mg $235 - $252 131%
North East Medical Services $235 - $251 131%
San Francisco Health Plan $235 131%
Aetna $251 - $847 140%
Asian American Medical Group $251 - $396 140%
Blue Shield Of California $251 - $3,861 140%
Brand New Day $251 - $318 140%
Brown And Toland Medical Group $251 - $413 140%
Care Advantage $251 140%
Chinese Community Health Plan $251 - $2,678 140%
For Your Benefit $251 140%
Healthnet Seniority $251 140%
Humana $251 140%
Imperial Health Plan $251 140%
Medicare (plans) $251 140%
Pacificare $251 140%
Tricare $254 142%
Apcmg $255 - $382 142%
Canopy Health $255 - $458 142%
Covid-19 Uninsured Program $255 142%
Kaiser $255 - $4,393 142%
UnitedHealthcare $255 - $292 142%
Easy Choice Hospital Services $260 145%
Central Health Plan $271 151%
Health Plan Of San Mateo Healthworx $276 154%
Health Plan Of San Mateo $314 175%
Ahmc Health $318 177%
Knox-Keene Act $318 177%
Cmac $330 184%
Athens Administrators $339 189%
Corvel Healthcare $339 189%
Multiplan/Bce Emergis $339 - $4,018 189%
Work Comp Other $339 189%
Workers Compensation Federal $615 343%
Self Pay $804 - $1,821 449%
Interplan Corporation $3,214 1794%
Cigna $3,750 2093%
Private Healthcare Sytems Inc $4,018 2242%
The First Health Network $4,018 2242%
Health Net $4,109 2293%
Beech Street Corporation $4,286 2392%
Healthcare Foundation Of San Mateo $4,286 2392%
Choicecare Network $4,553 2541%
Multiplan $4,553 2541%
Mills Peninsula Health Services $4,821 2690%
Indemnity $5,357 2989%

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