CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,590
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 8.87x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Intermountain Health St. Mary's Regional Hospital is $1,590. 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 8.87x 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
$1,590

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: $1,590 (887%)
Ins. Median: $1,590 (887% 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 887% of the Medicare baseline (a markup of 787%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $1,860 100%
Blue Cross Blue Shield $734 - $1,446 410%
Monument Health $1,056 589%
Cigna $1,302 - $1,508 727%
Allegiance $1,508 842%
Aetna $1,590 - $1,865 887%
Kaiser Perm Ppo/Pos $1,712 955%
Geha $1,765 - $1,860 985%
Meritain Health $1,765 985%
Humana $1,856 1036%
Cofinity $1,865 1041%
First Health Network $1,865 1041%
Private Hlthcare Sys $1,962 1095%
Public Employees Health $2,046 1142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2635 N 7Th St, Grand Junction, CO 81501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals