CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Gunnison Valley Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $436
Cash Discount Price: $967
vs. Medicare Baseline: 4.08x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Gunnison Valley Hospital is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $967. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.08x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$967

Average discount available for prompt cash payment at this facility.

Insurance Median

$436

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $967 (905%)

Insurance Median: $436 (408%)

Cash: $967 (905% of Medicare)

Ins. Median: $436 (408% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 408% of the Medicare baseline (a markup of 308%). 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
Cigna	$35 - $1,944	33%
Medicare (plans)	$39 - $972	37%
Aetna	$57 - $1,905	53%
Apostrophe-All Plans	$65 - $1,786	61%
Medicaid / KanCare	$118 - $436	110%
Gunnison County Sheriff Op & Profee Only	$149 - $1,018	140%
Ebms Hdhp	$175 - $1,190	164%
Tetwp Op & Profee Only-All Plans	$175 - $1,190	164%
U Of Co Transplant-All Plans	$175 - $1,190	164%
Ebms Ppo Plan-All Other Plans	$204 - $1,389	191%
Gunnison County Employees-All Other Plans	$233 - $1,587	218%
Scottish Rites-All Plans	$233 - $1,587	218%
Elap Employers-All Plans	$247 - $1,686	231%
Blue Cross Blue Shield	$255 - $1,739	239%
Multiplan-All Plans	$262 - $1,845	245%
Rocky Mountain Health-All Plans	$276 - $1,885	258%
UnitedHealthcare	$276 - $1,885	258%
Cofinity-All Plans	$279 - $1,905	261%
Gunnison County Coroner Op Only	$1,018	953%

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 $967.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Gunnison Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.