CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Seneca District Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $4,057
Cash Discount Price: $3,417
vs. Medicare Baseline: 22.64x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Seneca District Hospital is $4,057. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,417. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 22.64x the Medicare baseline. Located in 130 Brentwood Drive, Chester, CA.

Cash / Self-Pay

$3,417

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,057

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: $3,417 (1907%)

Insurance Median: $4,057 (2264%)

Cash: $3,417 (1907% of Medicare)

Ins. Median: $4,057 (2264% 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 2264% of the Medicare baseline (a markup of 2164%). 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
Medi-Cal	$248	138%
Amthem Bc Mcal	$251	140%
Ambetter / Centene	$302	169%
Partnership Hp-All Plans	$867	484%
UnitedHealthcare	$1,623 - $4,186	906%
Tricare	$2,990	1669%
Imperial Hp Ma-All Plans	$3,378	1885%
Blue Cross Blue Shield	$3,498 - $3,844	1952%
Blue Shield Ipf/Ca Exchange	$3,805	2123%
Beech Street Corp- All Plans	$4,057	2264%
Cigna	$4,057	2264%
Integrated Hp-All Plans	$4,057	2264%
Interplan Corp- All Plans	$4,057	2264%
Medincrease- All Plans	$4,057	2264%
Multiplan- All Plans	$4,057	2264%
Pacificare - All Plans	$4,057	2264%
Provider Ntwrk Of America-All Plans	$4,057	2264%
Alliance- All Plans	$4,143	2312%
Community Care Network - All Plans	$4,143	2312%
Coventry- All Plans	$4,186	2336%
Northern Nevada Health Network- All Plans	$4,186	2336%
Superior California Ppo - All Plans	$4,186	2336%
Blue Shield Of Ca- All Other Plans	$4,228	2359%
Healthnet - All Other Plans	$4,228	2359%
Three Rivers- All Plans	$4,228	2359%

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 $3,417.
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 Seneca District 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.