CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Loma Linda University Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,660
  • Cash Discount Price: $1,980
  • vs. Medicare Baseline: 9.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Loma Linda University Medical Center is $1,660. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,980. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.26x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.
Cash / Self-Pay
$1,980

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,660

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: $1,980 (1105%)
Insurance Median: $1,660 (926%)
Cash: $1,980 (1105% of Medicare)
Ins. Median: $1,660 (926% 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 926% of the Medicare baseline (a markup of 826%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Adventist Health $226 - $1,096 126%
Alpha Care Medical Group $226 - $339 126%
Dignity Health $226 - $339 126%
Epic Health Plan $226 - $2,193 126%
Inland Empire Health Plan (Iehp) $226 - $289 126%
Kaiser Foundation Hospitals $226 - $3,656 126%
UnitedHealthcare $226 - $1,660 126%
Upland Medical Group $226 126%
Vantage Medical Group $226 - $339 126%
Prime Health Services $240 - $4,660 134%
Riverside University Health System $249 139%
Molina Healthcare Of Ca $303 169%
Heritage Provider Network $371 207%
Lluh Dept Of Risk Management $664 - $1,096 371%
Blue Shield Of California $1,318 - $2,015 735%
Blue Cross Blue Shield $1,459 - $1,949 814%
Global Benefits Group $1,991 - $3,289 1111%
Temecula Valley Physicians Medical Group $1,991 1111%
Trivalley Medical Group $1,991 1111%
Cigna $2,124 - $2,456 1185%
Networks By Design $2,157 - $3,563 1204%
Aetna $2,364 1319%
Multiplan $2,489 - $4,112 1389%
Central Health Plan $2,655 - $4,386 1482%
Galaxy Health $2,821 - $4,660 1574%
Health Management Network $2,987 - $4,934 1667%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11234 Anderson St, Loma Linda, CA 92354
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals