CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Gunnison Valley Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $436
Cash Discount Price: $1,186
vs. Medicare Baseline: 2.43x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Gunnison Valley Hospital is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,186. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.43x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$1,186

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

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $1,186 (662%)

Insurance Median: $436 (243%)

Cash: $1,186 (662% of Medicare)

Ins. Median: $436 (243% 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 243% of the Medicare baseline (a markup of 143%). 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	$47 - $2,356	26%
Medicare (plans)	$52 - $1,178	29%
Aetna	$76 - $2,308	42%
Apostrophe-All Plans	$86 - $2,164	48%
Medicaid / KanCare	$164 - $436	92%
Gunnison County Sheriff Op & Profee Only	$199 - $1,234	111%
Ebms Hdhp	$232 - $1,442	129%
Tetwp Op & Profee Only-All Plans	$232 - $1,442	129%
U Of Co Transplant-All Plans	$232 - $1,442	129%
Ebms Ppo Plan-All Other Plans	$271 - $1,683	151%
Gunnison County Employees-All Other Plans	$310 - $1,923	173%
Scottish Rites-All Plans	$310 - $1,923	173%
Elap Employers-All Plans	$329 - $2,043	184%
Blue Cross Blue Shield	$339 - $2,107	189%
Multiplan-All Plans	$348 - $2,236	194%
Rocky Mountain Health-All Plans	$368 - $2,284	205%
UnitedHealthcare	$368 - $2,284	205%
Cofinity-All Plans	$372 - $2,308	208%
Gunnison County Coroner Op Only	$1,234	689%

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 $1,186.
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 Gunnison Valley Hospital 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.