CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,270
Cash Discount Price: $2,794
vs. Medicare Baseline: 12.67x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Southwest Healthcare Rancho Springs Hospital is $2,270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,794. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.67x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$2,794

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,270

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: $2,794 (1559%)

Insurance Median: $2,270 (1267%)

Cash: $2,794 (1559% of Medicare)

Ins. Median: $2,270 (1267% 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 1267% of the Medicare baseline (a markup of 1167%). 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
Health_Net	$100 - $2,389	56%
Kaiser	$114 - $2,075	64%
United_Healthcare	$137 - $292	76%
Heritage	$149 - $2,674	83%
Iehp	$177	99%
Blue Cross Blue Shield	$363 - $2,959	203%
Aetna	$1,088	607%
Cigna	$2,508	1400%
Primecare	$2,784	1554%
Palomar	$3,283	1832%
Rady_Children'S_Hospital	$4,890	2729%
Multiplan	$6,286	3508%
Sharp_Health_Plan	$6,286	3508%

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 $2,794.
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 Southwest Healthcare Rancho Springs Hospital 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.