CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lutheran Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,236
Cash Discount Price: Unavailable
vs. Medicare Baseline: 6.90x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lutheran Medical Center is $1,236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.90x the Medicare baseline. Located in 8300 W 38Th Ave, Wheat Ridge, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,236

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%)

Insurance Median: $1,236 (690%)

Ins. Median: $1,236 (690% 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 690% of the Medicare baseline (a markup of 590%). 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
Aarp	$177	99%
UnitedHealthcare	$177 - $1,701	99%
Kaiser Snp	$179	100%
Select Health	$179	100%
Aetna	$337 - $2,631	188%
Geha	$367 - $1,701	205%
Preferred One	$367 - $1,170	205%
Denv Hlth Med Plan	$465	259%
Kaiser Perm Hmo	$543 - $1,236	303%
Kaiser Self Funded	$675 - $1,236	377%
Kaiser Perm Ppo/Pos	$685 - $1,273	382%
Allegiance	$733	409%
Cigna	$733 - $2,933	409%
Blue Cross Blue Shield	$886 - $2,464	494%
Humana	$1,232	688%
Cofinity	$2,114	1180%
First Health Network	$2,114	1180%
Private Hlthcare Sys	$2,200	1228%
Multiplan Inc	$2,464	1375%

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 $X.
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 Lutheran 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.