CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Good Samaritan Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,917
  • Cash Discount Price: $19,448
  • vs. Medicare Baseline: 27.31x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Good Samaritan Hospital is $2,917. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,448. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 27.31x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$19,448

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,917

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: $19,448 (18208%)
Insurance Median: $2,917 (2731%)
Cash: $19,448 (18208% of Medicare)
Ins. Median: $2,917 (2731% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2731% of the Medicare baseline (a markup of 2631%). 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
Santa Clara Family Health Plan $63 59%
Physicians Medical Group $94 88%
Blue Cross Blue Shield $104 - $585 97%
United $245 - $4,959 229%
Blue Shield $1,889 1769%
Aetna $2,044 - $5,074 1914%
Medcare Partners $2,917 2731%
Nx Health Network $11,669 10925%
Sutter Select $11,669 10925%
Multiplan $12,641 - $15,558 11835%
Humana $13,613 12745%
First Health $14,780 - $19,448 13838%
Cigna $15,558 14566%
Healthsmart $15,558 - $16,530 14566%
Intercontinental Corporation $15,558 14566%
Pha Pacific Health Alliance $15,558 14566%
Ppo Next $15,558 14566%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals