CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Thomas More Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,404
Cash Discount Price: $2,002
vs. Medicare Baseline: 19.00x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Thomas More Hospital is $3,404. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,002. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 19.00x the Medicare baseline. Located in 1338 Phay Ave, Canon City, CO.

Cash / Self-Pay

$2,002

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,404

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: $2,002 (1117%)

Insurance Median: $3,404 (1900%)

Cash: $2,002 (1117% of Medicare)

Ins. Median: $3,404 (1900% 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 1900% of the Medicare baseline (a markup of 1800%). 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
Blue Cross Blue Shield	$330 - $4,405	184%
Centura Employee Plan	$337	188%
Aetna	$751 - $4,505	419%
Cigna	$751 - $4,305	419%
Devoted Health	$751	419%
Humana	$751	419%
Innovage	$751	419%
Kaiser	$751 - $4,303	419%
Medicare (plans)	$751	419%
UnitedHealthcare	$751 - $4,405	419%
Denver Health	$2,198	1227%
United Colorado Doctor'S Plan	$3,965	2213%
Direct To Employer	$4,105	2291%
Multiplan	$4,255	2374%

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 $2,002.
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 St Thomas More 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.