CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Loma Linda University Children's Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,660
Cash Discount Price: $2,307
vs. Medicare Baseline: 9.26x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Loma Linda University Children's Hospital is $1,660. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,307. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.26x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$2,307

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,660

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: $2,307 (1287%)

Insurance Median: $1,660 (926%)

Cash: $2,307 (1287% of Medicare)

Ins. Median: $1,660 (926% 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 926% of the Medicare baseline (a markup of 826%). 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
Alpha Care Medical Group	$226 - $339	126%
Dignity Health	$226 - $339	126%
Epic Health Plan	$226 - $2,774	126%
Inland Empire Health Plan (Iehp)	$226 - $282	126%
Kaiser Foundation Hospitals	$226 - $4,625	126%
Upland Medical Group	$226	126%
Vantage Medical Group	$226 - $339	126%
Molina Healthcare Of Ca	$285 - $303	159%
Heritage Provider Network	$371	207%
Adventist Health	$664 - $1,387	371%
Lluh Dept Of Risk Management	$797 - $1,664	445%
Blue Shield Of California	$1,341 - $2,031	748%
UnitedHealthcare	$1,660	926%
Global Benefits Group	$1,991 - $4,160	1111%
Temecula Valley Physicians Medical Group	$1,991	1111%
Trivalley Medical Group	$1,991	1111%
Blue Cross Blue Shield	$2,038	1137%
Cigna	$2,124 - $2,456	1185%
Networks By Design	$2,157 - $4,507	1204%
Multiplan	$2,655 - $5,547	1482%
Aetna	$2,754	1537%
Galaxy Health	$2,821 - $5,894	1574%
Prime Health Services	$2,821 - $5,894	1574%

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 $2,307.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Loma Linda University Children's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.