CMS Price Transparency Data
CT scan, head (with contrast)
Facility: Menifee Global Medical Center
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $300
- Cash Discount Price: $3,323
- vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Menifee Global Medical Center is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,323. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.67x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$3,323
Average discount available for prompt cash payment at this facility.
Insurance Median
$300
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: $3,323 (1854%)
Insurance Median: $300 (167%)
Cash: $3,323 (1854% of Medicare)
Ins. Median: $300 (167% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $135 - $210 | 75% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $169 | 94% |
| Cigna | $207 - $2,658 | 116% |
| Health Net Enhanced Ppo | $223 - $314 | 124% |
| Aetna | $224 - $1,815 | 125% |
| Altamed Comm Hmo (Ancillary) | $224 - $3,323 | 125% |
| Altamed Health Services Senior | $224 | 125% |
| Altamed Sr/Pace | $224 | 125% |
| Blue Shield Senior | $224 | 125% |
| Central Health Plan Senior | $224 | 125% |
| Clever Care Health Plan Sr | $224 | 125% |
| For Your Benefit Senior | $224 | 125% |
| Guidant Health Plan Senior | $224 | 125% |
| Health Net Senior | $224 | 125% |
| Hpn Senior | $224 | 125% |
| Humana | $224 | 125% |
| Ic | $224 - $3,323 | 125% |
| Kaiser Senior | $224 | 125% |
| Lasalle Medical Assoc (Ancillary) Senior | $224 | 125% |
| Managed Health Network Sr | $224 | 125% |
| Medicare (plans) | $224 | 125% |
| Neighborhood Healthcare Pace | $224 | 125% |
| Primecare Senior | $224 | 125% |
| Prospect Health Plan Sr Hmo | $224 | 125% |
| Scan Senior | $224 | 125% |
| Sr Capitation | $224 | 125% |
| UnitedHealthcare | $224 - $286 | 125% |
| Veterans Administration | $224 | 125% |
| Imperial Health Plan Of Ca | $226 | 126% |
| Lasalle Medical Assoc (Ancillary) Commercial | $226 | 126% |
| Point Comfort Underwriters | $226 | 126% |
| Self Pay/Ab774/Charity Discount | $226 | 126% |
| Align Senior Care | $251 | 140% |
| Welbehealth Sr/Pace | $251 | 140% |
| Prime Health Services Senior | $258 | 144% |
| Molina Covered Ca | $260 | 145% |
| Coventry | $270 - $281 | 151% |
| Prime Health Services Wcomp | $270 | 151% |
| Iehp Covered Ca | $281 | 157% |
| Three Rivers Wcomp | $294 | 164% |
| Workers Comp Non-Contracted | $300 | 167% |
| Prospect Health Plan Comm Hmo | $303 | 169% |
| Hpn Commercial/Covered Ca | $314 | 175% |
| Health Net Medi-Cal | $330 | 184% |
| Hpn Mcal | $330 | 184% |
| Kaiser Medi-Cal | $330 | 184% |
| Health Net Comm | $337 | 188% |
| Prospect Health Plan Mcal Hmo | $340 | 190% |
| Blue Cross Blue Shield | $347 | 194% |
| Molina Medi-Cal | $390 | 218% |
| Three Rivers Network | $395 | 220% |
| Velocity | $395 - $1,495 | 220% |
| Altamed Mcal Hmo | $462 | 258% |
| Altamed Mcal/Pace | $462 | 258% |
| Choice Physicians Network | $462 | 258% |
| Iehp Medi-Cal | $495 | 276% |
| Blue Shield Epn | $631 | 352% |
| Primecare Commercial | $635 | 354% |
| Blue Shield Commercial | $743 | 415% |
| First Health Commercial | $1,745 | 974% |
| Multiplan Ppo | $2,326 | 1298% |
| Multiplan Wcomp | $2,326 | 1298% |
| Pnoa-Provider Network Of America | $2,658 | 1483% |
| Prime Health Services Commercial | $2,658 | 1483% |
| Ava Hospice | $3,323 | 1854% |
| Kaiser Commercial | $3,323 | 1854% |
| Living Waters Hospice | $3,323 | 1854% |
| Managed Health Network | $3,323 | 1854% |
| Other Insurance Loa | $3,323 | 1854% |
| Pacific Valley Hospice | $3,323 | 1854% |
| Private Pay | $3,323 | 1854% |
| Silverado Hospice | $3,323 | 1854% |
| Vna Hospice | $3,323 | 1854% |