CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lucile Salter Packard Children's Hsp at Stanford

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $4,622
  • Cash Discount Price: $4,756
  • vs. Medicare Baseline: 25.79x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lucile Salter Packard Children's Hsp at Stanford is $4,622. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,756. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 25.79x the Medicare baseline. Located in 725 Welch Road, Palo Alto, CA.
Cash / Self-Pay
$4,756

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,622

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: $4,756 (2654%)
Insurance Median: $4,622 (2579%)
Cash: $4,756 (2654% of Medicare)
Ins. Median: $4,622 (2579% 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 2579% of the Medicare baseline (a markup of 2479%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Cigna $4,014 2240%
Aetna $4,480 2500%
Meritain Health $4,480 2500%
Blue Shield $4,622 2579%
Blue Shield Out Of State $4,622 2579%
Health Net $8,000 4464%
Sutter $28,538 15925%
UnitedHealthcare $28,538 15925%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 725 Welch Road, Palo Alto, CA 94304
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens