CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Casa Colina Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $252
  • Cash Discount Price: $293
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Casa Colina Hospital is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.41x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$293

Average discount available for prompt cash payment at this facility.

Insurance Median
$252

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: $293 (164%)
Insurance Median: $252 (141%)
Cash: $293 (164% of Medicare)
Ins. Median: $252 (141% 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
Heritage Prvdr Ntwrk Mcal $180 100%
Prospect Hp Mcal $203 113%
Promed Hlth Ntwrk Op Only - All Plans $214 119%
Medi-Cal $217 121%
Aetna $226 - $319 126%
Blue Cross Blue Shield $226 - $374 126%
Blue Shield Mcr Adv $226 126%
Caremore Mcr Adv - All Plans $226 126%
Central Hlth Plan - All Plans $226 126%
Doctors Managed Op Only - All Plans $226 126%
Empire Healthcare Op Only - All Plans $226 126%
Focus Healthcare Wc - All Plans $226 126%
Healthnet Mcr Adv $226 126%
Humana $226 - $319 126%
Iehp - All Other Plans $226 126%
Iehp Mcr Adv $226 126%
Kaiser Comm - All Other Plans $226 126%
Kaiser Mcr Adv $226 126%
Premiercare Op Only - All Plans $226 126%
Prospect Hp Mcr Adv $226 126%
Triwest - All Plans $226 126%
UnitedHealthcare $226 - $319 126%
Wellcare Mcr Adv - All Plans $226 126%
Kaiser Mcal $238 133%
Prospect Hp Comm - All Other Plans $248 138%
Heritage Prvdr Ntwrk Comm - All Other Plans $256 143%
Heritage Prvdr Ntwrk Mcr $256 143%
Healthnet Comm - All Other Plans $262 146%
Affiliated Hlth Funds - All Plans $282 157%
Corvel - All Plans $319 178%
Coventry - All Plans $319 178%
Multiplan - All Plans $319 178%
Three Rivers - All Plans $319 178%
Cigna $357 199%
Brand New Day Mcr Adv - All Plans $383 214%
Epic Comm - All Other Plans $400 223%
Epic Mcr Adv $400 223%
Healthcare Partners - All Other Plans $400 223%
Healthcare Partners Mcr $400 223%
Primecare Comm - All Other Plans $400 223%
Primecare Mcr Adv $400 223%
Galaxy Provdr Ntwrk - All Plans $447 249%
Blue Shield Comm - All Other Plans $472 263%
Iehp Mcal $542 302%
Prospect Med Grp Alta - All Plans $543 303%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals