CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $461
  • Cash Discount Price: $1,509
  • vs. Medicare Baseline: 2.57x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Kapiolani Medical Center for Women & Children is $461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,509. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.57x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.
Cash / Self-Pay
$1,509

Average discount available for prompt cash payment at this facility.

Insurance Median
$461

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: $1,509 (842%)
Insurance Median: $461 (257%)
Cash: $1,509 (842% of Medicare)
Ins. Median: $461 (257% 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 257% of the Medicare baseline (a markup of 157%). 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
Alohacare $178 - $196 99%
Hmsa $178 - $465 99%
Kaiser $178 - $2,213 99%
Mdx $178 - $185 99%
Devoted $187 104%
Ohana $214 - $734 119%
Hwmg/Hmaa $313 175%
UnitedHealthcare $349 195%
Pac Admin $457 255%
Uha $570 - $1,258 318%
Verdegard $580 324%
Mimoh $1,760 - $1,886 982%
Calvos $1,886 1052%
Hcha $2,012 1123%
Multiplan $2,012 - $2,138 1123%
Mccp $2,138 1193%
Coventry $2,264 1263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1319 Punahou Street, Honolulu, HI 96826
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens