CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,874
Cash Discount Price: Unavailable
vs. Medicare Baseline: 10.46x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Intermountain Health St. Mary's Regional Hospital is $1,874. 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 10.46x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,874

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: $1,874 (1046%)

Ins. Median: $1,874 (1046% 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 1046% of the Medicare baseline (a markup of 946%). 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
Select Health	$179	100%
UnitedHealthcare	$179 - $2,192	100%
Blue Cross Blue Shield	$864 - $1,446	482%
Monument Health	$1,244	694%
Cigna	$1,533 - $1,777	855%
Allegiance	$1,777	992%
Aetna	$1,874 - $2,197	1046%
Kaiser Perm Ppo/Pos	$2,016	1125%
Geha	$2,080 - $2,192	1161%
Meritain Health	$2,080	1161%
Humana	$2,187	1220%
Cofinity	$2,197	1226%
First Health Network	$2,197	1226%
Private Hlthcare Sys	$2,311	1290%
Public Employees Health	$2,410	1345%

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: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Intermountain Health St. Mary's Regional 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.