CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $241
Cash Discount Price: $2,185
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Shriners Hospitals for Children Northern Calif is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,185. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.34x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$2,185

Average discount available for prompt cash payment at this facility.

Insurance Median

$241

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: $2,185 (1219%)

Insurance Median: $241 (134%)

Cash: $2,185 (1219% of Medicare)

Ins. Median: $241 (134% 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.

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
Kaiser Permanente	$100 - $241	56%
Soonercare	$146	81%
Aetna	$153 - $272	85%
Medicaid / KanCare	$153	85%
Gateway Health Plan	$159	89%
Ambetter / Centene	$172 - $262	96%
Molina Healthcare Of Ms	$172	96%
UnitedHealthcare	$182	102%
Amerigroup Nv	$193	108%
Amerihealth Caritas Nc	$198	110%
Amerihealth Caritas Sc	$198	110%
Caresource Of Oh	$198	110%
Health Plan Of Nv	$214	119%
Northbay Healthcare	$228	127%
Blue Cross Blue Shield	$241 - $298	134%
Central California Alliance For Health	$241	134%
Health Plan Of San Joaquin	$241	134%
Molina Healthcare Of Ca	$241	134%
Partnership Healthplan Of Ca	$241	134%
Sana Benefits	$241 - $319	134%
Sutter Medical Foundation	$250	140%
Providence Health Plan	$258	144%
Health Net Of Ca	$262	146%
Cigna	$306	171%
Healthchoice Of Oklahoma	$445	248%

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 $2,185.
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 Shriners Hospitals for Children Northern Calif 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.