CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Marinhealth Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,424
Cash Discount Price: $4,039
vs. Medicare Baseline: 7.95x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Marinhealth Medical Center is $1,424. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,039. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.95x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.

Cash / Self-Pay

$4,039

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,424

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: $4,039 (2254%)

Insurance Median: $1,424 (795%)

Cash: $4,039 (2254% of Medicare)

Ins. Median: $1,424 (795% 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 795% of the Medicare baseline (a markup of 695%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$239	133%
Aetna	$240 - $1,560	134%
Brown And Tolan	$248	138%
Healthnet Tailored Network	$248	138%
Kaiser	$248	138%
Marin Cancer Care	$248	138%
Ca Prison Health Care Services	$396	221%
Healthnet Enhancedcare	$644	359%
Provider Network Of America	$1,176	656%
Canopy	$1,424	795%
Canopy Hill Physicians	$1,424	795%
Blue Shield Cpic/Epo	$1,468	819%
Providers Network Of America	$1,560	871%
Blue Shield Hmo/Ppo	$1,631	910%
Hills Blue Shield Hmo/Ppo	$1,631	910%
Healthnet Hmo/Ppo	$1,651	921%
Healthnet Hmo/Ppo Hill Physicians	$1,651	921%
Blue Shield Aco	$1,691	944%
UnitedHealthcare	$2,330	1300%
Cigna	$5,614	3133%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,039.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marinhealth Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.