CMS Price Transparency Data

CT scan, head (with contrast)

Facility: San Luis Valley Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,649
Cash Discount Price: $1,006
vs. Medicare Baseline: 9.20x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at San Luis Valley Regional Medical Center is $1,649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,006. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.20x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$1,006

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,649

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: $1,006 (561%)

Insurance Median: $1,649 (920%)

Cash: $1,006 (561% of Medicare)

Ins. Median: $1,649 (920% 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 920% of the Medicare baseline (a markup of 820%). 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
Rocky Mountain	$152	85%
Tricare	$179 - $185	100%
Kaiser	$185 - $2,304	103%
Triwest	$185	103%
Uc Health Plan Pb	$340	190%
Presbyterian Health Plan	$416	232%
Aetna	$679 - $2,122	379%
Multiplan Physician	$679	379%
Cigna	$807 - $2,304	450%
Rocky Mountain Pb	$807	450%
Uchpa Phs - Pb	$807	450%
Co Choice Healthplan - Lutheran Hosp Assoc	$1,649	920%
Hmo Health Plans	$1,698	948%
UnitedHealthcare	$2,129 - $2,231	1188%
Blue Cross Blue Shield	$2,134	1191%
Galaxy Health Network	$2,134	1191%
Multiplan	$2,134 - $2,182	1191%
Humana	$2,182	1218%
Pinnacol Assurance	$2,255	1258%
Colorado Access	$2,292	1279%
Foundation Health Corp	$2,304	1286%
Uc Health Plan	$2,304	1286%
Uchpa Phs	$2,304	1286%

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 $1,006.
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 San Luis Valley Regional 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.