CMS Price Transparency Data

CT scan, head (with contrast)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $261
  • Cash Discount Price: $7,606
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at UCSF Health St. Mary's Hospital is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,606. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.46x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$7,606

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $7,606 (4244%)
Insurance Median: $261 (146%)
Cash: $7,606 (4244% of Medicare)
Ins. Median: $261 (146% 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
Sfhp $200 112%
Brown Toland $205 - $261 114%
California Health & Wellness $205 114%
Health Plan San Mateo $205 - $261 114%
Kaiser $205 - $5,781 114%
Partnership Health Plan $205 114%
Aetna $261 - $1,562 146%
Blue Cross Blue Shield $261 - $5,872 146%
Blue Shield Ca $261 146%
Chinese Community $261 - $4,944 146%
Connected Care $261 146%
Health Net $261 - $300 146%
Humana $261 146%
Mhn $261 146%
United $261 - $402 146%
Kentfield $758 423%
Oscar $857 478%
Cigna $3,119 - $3,318 1741%
Magellan $4,564 2547%
Healthsmart $5,324 2971%
Multiplan $6,313 3523%
Us Behavioral Health $7,606 4244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals