CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $371
Cash Discount Price: $1,408
vs. Medicare Baseline: 2.07x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Kapiolani Medical Center for Women & Children is $371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,408. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.07x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$1,408

Average discount available for prompt cash payment at this facility.

Insurance Median

$371

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: $1,408 (786%)

Insurance Median: $371 (207%)

Cash: $1,408 (786% of Medicare)

Ins. Median: $371 (207% 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 207% of the Medicare baseline (a markup of 107%). 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
Mdx	$154 - $178	86%
Alohacare	$178 - $196	99%
Hmsa	$178 - $372	99%
Kaiser	$178 - $2,065	99%
Devoted	$187	104%
Ohana	$198 - $685	110%
Hwmg/Hmaa	$258	144%
UnitedHealthcare	$280	156%
Pac Admin	$371	207%
Uha	$461 - $1,174	257%
Verdegard	$755	421%
Mimoh	$1,643 - $1,760	917%
Calvos	$1,760	982%
Hcha	$1,878	1048%
Multiplan	$1,878 - $1,995	1048%
Mccp	$1,995	1113%
Coventry	$2,112	1179%

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 $1,408.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kapiolani Medical Center for Women & Children is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.