CMS Price Transparency Data

CT scan, head (no contrast)

Facility: PAM Specialty Hospital of Denver

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $7,175
  • Cash Discount Price: $8,968
  • vs. Medicare Baseline: 67.18x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at PAM Specialty Hospital of Denver is $7,175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,968. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 67.18x the Medicare baseline. Located in 1690 N Meade St, Denver, CO.
Cash / Self-Pay
$8,968

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,175

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: $8,968 (8396%)
Insurance Median: $7,175 (6718%)
Cash: $8,968 (8396% of Medicare)
Ins. Median: $7,175 (6718% 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 6718% of the Medicare baseline (a markup of 6618%). 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
Galaxy Health Network $5,829 5457%
America'S Choice $6,278 5878%
Provider Network Of America $6,726 6297%
Quik Trip $6,726 6297%
Usa Managed Care Organization $6,726 6297%
Velocity Provider Ppo Network $6,726 6297%
Evolutions Healthcare System $7,175 6718%
Fara $7,175 6718%
Multiplan $7,175 6718%
Integrated Health Plan $7,354 6885%
First Choice Of The Midwest $7,623 7137%
Fortified Provider Network $7,623 7137%
Prime Health Services $7,623 7137%
Three Rivers Provider Network $7,623 7137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1690 N Meade St, Denver, CO 80204
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL