CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Centura Health-St Anthony Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $422
Cash Discount Price: $3,105
vs. Medicare Baseline: 2.35x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Centura Health-St Anthony Hospital is $422. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,105. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.35x the Medicare baseline. Located in 11600 W 2Nd Pl, Lakewood, CO.

Cash / Self-Pay

$3,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$422

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: $3,105 (1733%)

Insurance Median: $422 (235%)

Cash: $3,105 (1733% of Medicare)

Ins. Median: $422 (235% 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 235% of the Medicare baseline (a markup of 135%). 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
UnitedHealthcare	$115 - $402	64%
Aetna	$116 - $439	65%
Blue Cross Blue Shield	$116 - $6,831	65%
Humana	$116	65%
Kaiser	$116 - $2,554	65%
Medicare (plans)	$116	65%
Cigna	$288 - $310	161%
Direct To Employer	$322 - $3,105	180%
Centura Employee Plan	$337	188%
Denver Public Schools	$383	214%
United Colorado Doctor'S Plan	$402	224%
Peak Health	$433 - $3,028	242%
Multiplan	$592 - $6,598	330%
Denver Health	$1,832	1022%

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 $3,105.
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 Centura Health-St Anthony Hospital 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.