CMS Price Transparency Data

CT scan, head (with contrast)

Facility: AHMC Seton Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $330
  • Cash Discount Price: $4,058
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at AHMC Seton Medical Center is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,058. 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
$4,058

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: $4,058 (2265%)
Insurance Median: $330 (184%)
Cash: $4,058 (2265% 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 $45 - $3,852 25%
Hill Physicians Medical Group Inc $126 - $330 70%
Medi-Cal $143 80%
San Mateo County/San Mateo County General Hospital $176 98%
Veterans Administration (Va) $178 99%
North East Medical Services $200 - $251 112%
San Francisco Health Plan $200 112%
Jade Health Care Mg $201 - $251 112%
Aetna $251 - $847 140%
Asian American Medical Group $251 - $396 140%
Blue Shield Of California $251 - $3,084 140%
Brand New Day $251 - $318 140%
Brown And Toland Medical Group $251 - $413 140%
Care Advantage $251 140%
Chinese Community Health Plan $251 - $2,536 140%
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 - $4,159 142%
UnitedHealthcare $255 - $292 142%
Easy Choice Hospital Services $260 145%
Central Health Plan $271 151%
Health Plan Of San Mateo Healthworx $272 152%
Health Plan Of San Mateo $310 173%
Ahmc Health $318 177%
Knox-Keene Act $318 177%
Cmac $330 184%
Athens Administrators $339 189%
Corvel Healthcare $339 189%
Multiplan/Bce Emergis $339 - $3,804 189%
Work Comp Other $339 189%
Workers Compensation Federal $502 280%
Self Pay $761 - $1,724 425%
Interplan Corporation $3,043 1698%
Cigna $3,550 1981%
Private Healthcare Sytems Inc $3,804 2123%
The First Health Network $3,804 2123%
Health Net $3,890 2171%
Beech Street Corporation $4,058 2265%
Healthcare Foundation Of San Mateo $4,058 2265%
Choicecare Network $4,311 2406%
Multiplan $4,311 2406%
Mills Peninsula Health Services $4,565 2547%
Indemnity $5,072 2830%

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