CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mayers Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $923
Cash Discount Price: $933
vs. Medicare Baseline: 5.15x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mayers Memorial Hospital is $923. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $933. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.15x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$933

Average discount available for prompt cash payment at this facility.

Insurance Median

$923

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: $933 (521%)

Insurance Median: $923 (515%)

Cash: $933 (521% of Medicare)

Ins. Median: $923 (515% 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 515% of the Medicare baseline (a markup of 415%). 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	$50 - $877	28%
Blue Shield Mcr Adv	$50 - $877	28%
Tricare	$50 - $923	28%
Health Net Mcr Adv	$53 - $923	30%
Arcadian Health Services-All Plans	$56 - $923	31%
Imperial Health Plan-All Plans	$60 - $1,043	33%
Medi-Cal	$143 - $217	80%
Cigna	$445 - $1,329	248%
Corvel Ppo-All Plans	$445 - $1,329	248%
Coventry/First Health-All Plans	$445 - $1,329	248%
Integrated Hp-All Plans	$445 - $1,329	248%
Interplan-All Plans	$445 - $1,329	248%
Partnership Hp-All Plans	$867	484%
Blue Cross Blue Shield	$933 - $1,196	521%
Health Net Prison	$1,006	561%
Blue Shield Ca Exchange	$1,196	667%
Blue Shield-All Other Plans	$1,329	742%
Hmn-All Plans	$1,329	742%
Multiplan Phcs-All Plans	$1,329	742%
Pfmc-All Plans	$1,329	742%
Superior Ca-All Plans	$1,329	742%
Health Net-All Other Plans	$1,392	777%
Pacificare-All Plans	$1,399	781%

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 $933.
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 Mayers Memorial 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.