CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Temecula Valley Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,901
Cash Discount Price: Unavailable
vs. Medicare Baseline: 17.80x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Temecula Valley Hospital is $1,901. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.80x the Medicare baseline. Located in 31700 Temecula Pkwy, Temecula, CA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,901

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%)

Insurance Median: $1,901 (1780%)

Ins. Median: $1,901 (1780% 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 1780% of the Medicare baseline (a markup of 1680%). 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
Heritage	$66	62%
Iehp	$66	62%
Molina	$66	62%
Health_Net	$69 - $1,944	65%
United_Healthcare	$81 - $178	76%
Kaiser	$119 - $1,857	111%
Aetna	$167	156%
Cigna	$1,655 - $2,244	1549%
Primecare	$1,838 - $2,492	1721%
Exclusive_Care	$2,074 - $2,813	1942%
Sharp_Health_Plan	$2,074 - $2,813	1942%
Palomar	$2,167 - $2,938	2029%
Blue_Shield	$2,244	2101%
Multiplan	$4,149 - $5,627	3884%

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 $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Temecula Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.