CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $260
Cash Discount Price: $767
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Samuel Mahelona Memorial Hospital is $260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $767. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.45x the Medicare baseline. Located in 4800 Kawaihau Road, Kapaa, HI.

Cash / Self-Pay

$767

Average discount available for prompt cash payment at this facility.

Insurance Median

$260

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: $767 (428%)

Insurance Median: $260 (145%)

Cash: $767 (428% of Medicare)

Ins. Median: $260 (145% 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	$59 - $1,059	33%
UnitedHealthcare	$59 - $1,059	33%
Ohana Health Plan	$59 - $1,059	33%
Hawaii Medical Service Association	$59 - $1,059	33%
Devoted Health	$65 - $1,165	36%
Kaiser Permanente	$71 - $1,906	40%
Hawaii Western Management Group	$179 - $380	100%
Health Management Network	$196 - $1,800	109%
University Health Alliance	$719	401%
Humana	$1,059	591%
Mdx Hawaii	$2,054	1146%

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 $767.
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 Samuel Mahelona Memorial 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.