CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Pali Momi Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $253
Cash Discount Price: $1,338
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Pali Momi Medical Center is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,338. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.41x the Medicare baseline. Located in 98-1079 Moanalua Road, Aiea, HI.

Cash / Self-Pay

$1,338

Average discount available for prompt cash payment at this facility.

Insurance Median

$253

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: $1,338 (747%)

Insurance Median: $253 (141%)

Cash: $1,338 (747% of Medicare)

Ins. Median: $253 (141% 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.

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
Alohacare	$121 - $232	68%
Ohana	$125 - $253	70%
Mdx	$175 - $211	98%
Hmsa	$211 - $465	118%
Devoted	$222	124%
UnitedHealthcare	$233	130%
Hwmg/Hmaa	$313	175%
Verdegard	$455	254%
Pac Admin	$457	255%
Uha	$618	345%
Calvos	$1,672	933%
Mimoh	$1,672	933%
Hcha	$1,784	996%
Kaiser	$1,784	996%
Multiplan	$1,784 - $1,896	996%
Coventry	$1,896	1058%
Mccp	$1,896	1058%

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 $1,338.
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 Pali Momi Medical Center 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.