CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Seneca District Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $3,306
Cash Discount Price: $2,784
vs. Medicare Baseline: 18.45x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Seneca District Hospital is $3,306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,784. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 18.45x the Medicare baseline. Located in 130 Brentwood Drive, Chester, CA.

Cash / Self-Pay

$2,784

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,306

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: $2,784 (1554%)

Insurance Median: $3,306 (1845%)

Cash: $2,784 (1554% of Medicare)

Ins. Median: $3,306 (1845% 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 1845% of the Medicare baseline (a markup of 1745%). 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	$217	121%
Amthem Bc Mcal	$220	123%
Ambetter / Centene	$264	147%
Partnership Hp-All Plans	$758	423%
UnitedHealthcare	$1,322 - $3,410	738%
Tricare	$2,436	1359%
Imperial Hp Ma-All Plans	$2,753	1536%
Blue Cross Blue Shield	$2,850 - $3,132	1590%
Blue Shield Ipf/Ca Exchange	$3,101	1730%
Beech Street Corp- All Plans	$3,306	1845%
Cigna	$3,306	1845%
Integrated Hp-All Plans	$3,306	1845%
Interplan Corp- All Plans	$3,306	1845%
Medincrease- All Plans	$3,306	1845%
Multiplan- All Plans	$3,306	1845%
Pacificare - All Plans	$3,306	1845%
Provider Ntwrk Of America-All Plans	$3,306	1845%
Alliance- All Plans	$3,376	1884%
Community Care Network - All Plans	$3,376	1884%
Coventry- All Plans	$3,410	1903%
Northern Nevada Health Network- All Plans	$3,410	1903%
Superior California Ppo - All Plans	$3,410	1903%
Blue Shield Of Ca- All Other Plans	$3,445	1922%
Healthnet - All Other Plans	$3,445	1922%
Three Rivers- All Plans	$3,445	1922%

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 $2,784.
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 Seneca District 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.