CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Banner Lassen Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,489
Cash Discount Price: $890
vs. Medicare Baseline: 8.31x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Banner Lassen Medical Center is $1,489. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $890. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.31x the Medicare baseline. Located in 1800 Spring Ridge Drive, Susanville, CA.

Cash / Self-Pay

$890

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,489

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: $890 (497%)

Insurance Median: $1,489 (831%)

Cash: $890 (497% of Medicare)

Ins. Median: $1,489 (831% 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 831% of the Medicare baseline (a markup of 731%). 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 Cross Blue Shield	$36	20%
Partnership Healthplan Of Ca	$236	132%
Banner Health	$649	362%
UnitedHealthcare	$649 - $1,473	362%
Network Providers, Llc	$844	471%
Imperial Health Plan Of California, Inc	$877	489%
Blue Shield Of California	$1,378	769%
Multiplan	$1,426	796%
Cigna	$1,505	840%
Coventry	$1,521	849%
First Health	$1,521	849%
Health Net	$1,536	857%

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 $890.
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 Banner Lassen Medical Center 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.