CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Healthone Spalding Rehabilitation

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,748
Cash Discount Price: $5,250
vs. Medicare Baseline: 9.75x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Healthone Spalding Rehabilitation is $1,748. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,250. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.75x the Medicare baseline. Located in 900 Potomac St, Aurora, CO.

Cash / Self-Pay

$5,250

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,748

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: $5,250 (2930%)

Insurance Median: $1,748 (975%)

Cash: $5,250 (2930% of Medicare)

Ins. Median: $1,748 (975% 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 975% of the Medicare baseline (a markup of 875%). 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
Pinnacol Workers Comp	$283	158%
Multiplan	$295 - $4,725	165%
United	$304 - $2,362	170%
Rocky Mountain Health Plan	$402	224%
Vail Health	$798	445%
Blue Cross Blue Shield	$1,107 - $3,570	618%
Cigna	$1,412 - $3,360	788%
Aetna	$1,575 - $2,662	879%
Kaiser	$1,748 - $3,129	975%
Western Plains Community Health	$3,412	1904%
Triwest Health Alliance	$4,200	2344%
Prime Health	$4,725	2637%

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 $5,250.
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 HCA Healthone Spalding Rehabilitation 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.