CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mayers Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,466
Cash Discount Price: $1,280
vs. Medicare Baseline: 8.18x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mayers Memorial Hospital is $1,466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,280. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.18x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$1,280

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,466

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: $1,280 (714%)

Insurance Median: $1,466 (818%)

Cash: $1,280 (714% of Medicare)

Ins. Median: $1,466 (818% 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 818% of the Medicare baseline (a markup of 718%). 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
Blue Shield Ca Va	$57 - $1,393	32%
Blue Shield Mcr Adv	$57 - $1,393	32%
Tricare	$57 - $1,466	32%
Health Net Mcr Adv	$59 - $1,466	33%
Arcadian Health Services-All Plans	$62 - $1,466	35%
Imperial Health Plan-All Plans	$67 - $1,656	37%
Medi-Cal	$168 - $248	94%
Cigna	$322 - $2,110	180%
Corvel Ppo-All Plans	$322 - $2,110	180%
Coventry/First Health-All Plans	$322 - $2,110	180%
Integrated Hp-All Plans	$322 - $2,110	180%
Interplan-All Plans	$322 - $2,110	180%
Partnership Hp-All Plans	$991	553%
Blue Cross Blue Shield	$1,481 - $1,899	826%
Health Net Prison	$1,598	892%
Blue Shield Ca Exchange	$1,899	1060%
Blue Shield-All Other Plans	$2,110	1177%
Hmn-All Plans	$2,110	1177%
Multiplan Phcs-All Plans	$2,110	1177%
Pfmc-All Plans	$2,110	1177%
Superior Ca-All Plans	$2,110	1177%
Health Net-All Other Plans	$2,210	1233%
Pacificare-All Plans	$2,221	1239%

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 $1,280.
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 Mayers Memorial 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.