CMS Price Transparency Data
CT scan, head (with contrast)
Facility: Trinity Health Oakland Hospital
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $1,857
- Cash Discount Price: $1,775
- vs. Medicare Baseline: 10.36x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Trinity Health Oakland Hospital is $1,857. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,775. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.36x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$1,775
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,857
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: $1,775 (991%)
Insurance Median: $1,857 (1036%)
Cash: $1,775 (991% of Medicare)
Ins. Median: $1,857 (1036% 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 1036% of the Medicare baseline (a markup of 936%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $96 - $98 | 54% |
| Blue Cross Blue Shield | $98 - $171 | 55% |
| Aetna | $120 - $1,237 | 67% |
| Geha | $120 - $2,048 | 67% |
| Medical Mutual | $120 | 67% |
| Meritain | $120 | 67% |
| Bcn Domestic | $156 | 87% |
| Blue Benefit Administrators Of Massachusetts | $156 | 87% |
| Blue Care Network | $156 | 87% |
| Blue Distinction Transplant | $156 | 87% |
| Blue Shield - Ca | $156 | 87% |
| Blue Shield - Id (Regence) | $156 | 87% |
| Blue Shield - Ny Highmark Northeastern | $156 | 87% |
| Blue Shield - Ny Highmark Western | $156 | 87% |
| Blue Shield - Pa (Highmark) | $156 | 87% |
| Blue Shield - Wa (Regence) | $156 | 87% |
| Health Choices | $156 - $2,005 | 87% |
| Kaiser Domestic | $156 | 87% |
| Blue Care Network Advantage | $171 | 95% |
| Medicare (plans) | $171 - $175 | 95% |
| Align Senior Care | $175 | 98% |
| Hospice Advantage | $175 | 98% |
| UnitedHealthcare | $180 - $2,048 | 100% |
| Cca - Zing Health | $185 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $197 | 110% |
| Molina Marketplace | $227 | 127% |
| Health Cost Solutions | $271 | 151% |
| Vitalcore | $271 | 151% |
| Wellpath | $271 | 151% |
| U Of M Health Plan | $330 | 184% |
| Priority Health | $337 - $375 | 188% |
| Asr Health Benefits | $361 | 201% |
| Caresource | $361 | 201% |
| Hap | $361 - $1,988 | 201% |
| Varipro | $361 | 201% |
| Employee Benefit Logistic | $403 | 225% |
| Wc Accident Fund | $829 | 463% |
| Wc Advantage | $829 | 463% |
| Wc Aig | $829 | 463% |
| Wc Allied | $829 | 463% |
| Wc Amerisure | $829 | 463% |
| Wc Amtrust | $829 | 463% |
| Wc Asu Risk Mgt | $829 | 463% |
| Wc Berkley Admin | $829 | 463% |
| Wc Broadspire | $829 | 463% |
| Wc Bunch & Associates | $829 | 463% |
| Wc Ccmsi | $829 | 463% |
| Wc Emc Insurance Company | $829 | 463% |
| Wc Esis | $829 | 463% |
| Wc Fcci | $829 | 463% |
| Wc Federated | $829 | 463% |
| Wc Gallagher Bassett | $829 | 463% |
| Wc Genex Care For Ohio | $829 | 463% |
| Wc Guard Insurance Company | $829 | 463% |
| Wc Hartford | $829 | 463% |
| Wc Liberty Mutual | $829 | 463% |
| Wc Meijers | $829 | 463% |
| Wc Michigan | $829 | 463% |
| Wc Mitchell Frankenmuth | $829 | 463% |
| Wc Pma | $829 | 463% |
| Wc Sedgwick | $829 | 463% |
| Wc Sentry | $829 | 463% |
| Wc Travelers | $829 | 463% |
| Wc Tristar | $829 | 463% |
| Wc Walmart | $829 | 463% |
| Wc Zurich | $829 | 463% |
| Acs Benefit Services | $1,202 | 671% |
| Allied Benefit Systems | $1,202 | 671% |
| Claimchoice Adminstrators | $1,202 | 671% |
| Consociate | $1,202 | 671% |
| Cypress Benefit Administrators | $1,202 | 671% |
| Forest County Potawatomi | $1,202 | 671% |
| Health Smart | $1,202 | 671% |
| Healthgram | $1,202 | 671% |
| Healthscope | $1,202 | 671% |
| Secureone Preferred United Plans | $1,202 | 671% |
| Sisco Benefits | $1,202 | 671% |
| The Health Plan | $1,202 | 671% |
| Trustmark Small Business Benefits | $1,202 | 671% |
| Unified Group Services | $1,202 | 671% |
| Webtpa | $1,202 | 671% |
| Mclaren Health | $1,313 - $1,432 | 733% |
| Carelon Behavioral Health | $1,366 | 762% |
| Magellan Behavioral Health | $1,639 | 915% |
| 1199 National Benefit Fund | $1,857 | 1036% |
| Allied National Global Care | $1,857 | 1036% |
| Asrm - Reliance Standard Life Insurance | $1,857 | 1036% |
| Christian Care Ministry | $1,857 | 1036% |
| Dean Health | $1,857 | 1036% |
| Fallon Health | $1,857 | 1036% |
| Family Life Insurance Company | $1,857 | 1036% |
| Ghc Scw | $1,857 | 1036% |
| Group Pension Administrators | $1,857 | 1036% |
| International Benefit Administrators | $1,857 | 1036% |
| Lifetime Benefit Solutions | $1,857 | 1036% |
| Manhattan Life | $1,857 | 1036% |
| Medi Share | $1,857 | 1036% |
| Multiplan | $1,857 | 1036% |
| Mvp | $1,857 | 1036% |
| Pai | $1,857 | 1036% |
| Pan-American Life | $1,857 | 1036% |
| Paramount Hmo | $1,857 | 1036% |
| Phcs | $1,857 | 1036% |
| Trinity Health Share | $1,857 | 1036% |
| Health Partners | $1,988 | 1109% |
| Tufts Health Plan | $1,988 | 1109% |
| Access Health | $2,005 | 1119% |
| Acclaim | $2,005 | 1119% |
| Administrative Concepts | $2,005 | 1119% |
| Allegeant | $2,005 | 1119% |
| Ameriben | $2,005 | 1119% |
| American Family | $2,005 | 1119% |
| American Healthcare Alliance | $2,005 | 1119% |
| American National | $2,005 | 1119% |
| American Republic | $2,005 | 1119% |
| Amerihealth | $2,005 | 1119% |
| Aultcare | $2,005 | 1119% |
| Automated Benefit Services | $2,005 | 1119% |
| Auxiant | $2,005 | 1119% |
| Benefit Administrative Systems,Llc | $2,005 | 1119% |
| Boon Chapman | $2,005 | 1119% |
| Cam Administrative Services | $2,005 | 1119% |
| Christian Brother Services | $2,005 | 1119% |
| Christian Brothers Holy Cross | $2,005 | 1119% |
| Comprehensive Benefits | $2,005 | 1119% |
| Continental Life Insurance | $2,005 | 1119% |
| Custom Benefit Administrators | $2,005 | 1119% |
| Employee Benefit Concepts | $2,005 | 1119% |
| Employee Benefit Management | $2,005 | 1119% |
| Enterprise Group Planning | $2,005 | 1119% |
| Freedom Life Insurance Company | $2,005 | 1119% |
| Group Administrators | $2,005 | 1119% |
| Group Marketing Services | $2,005 | 1119% |
| Guardian | $2,005 | 1119% |
| Health America | $2,005 | 1119% |
| Healthcare Management Admin | $2,005 | 1119% |
| Healthez | $2,005 | 1119% |
| Humana | $2,005 | 1119% |
| Insight | $2,005 | 1119% |
| Intercare | $2,005 | 1119% |
| Jfp Benefit Management | $2,005 | 1119% |
| Jp Farley Corporation | $2,005 | 1119% |
| Key Benefit Administrator | $2,005 | 1119% |
| Liberty Union Life Assurance Co | $2,005 | 1119% |
| Lucent Health | $2,005 | 1119% |
| Luminare Health | $2,005 | 1119% |
| Luminare Health (Detroit) | $2,005 | 1119% |
| Magnacare | $2,005 | 1119% |
| Medben | $2,005 | 1119% |
| Medcost | $2,005 | 1119% |
| Mutual Health Services | $2,005 | 1119% |
| Mutual Of Omaha | $2,005 | 1119% |
| Ncas | $2,005 | 1119% |
| Nippon Life Ins | $2,005 | 1119% |
| Nova | $2,005 | 1119% |
| Painters Union Insurance Fund | $2,005 | 1119% |
| Physicians Mutual | $2,005 | 1119% |
| Plumbers Local 98 Insurance Fund | $2,005 | 1119% |
| Prairie States | $2,005 | 1119% |
| Preferred One | $2,005 | 1119% |
| Primary Physician Care | $2,005 | 1119% |
| Professional Benefit Administrators | $2,005 | 1119% |
| Siho Insurance Services | $2,005 | 1119% |
| The Loomis Company | $2,005 | 1119% |
| Unicare | $2,005 | 1119% |
| Us Health And Life | $2,005 | 1119% |
| Valenz | $2,005 | 1119% |
| Western & Southern Financial Group | $2,005 | 1119% |
| Wps | $2,005 | 1119% |
| Cigna | $2,024 | 1129% |
| Coventry | $2,059 | 1149% |
| First Health | $2,059 | 1149% |
| Prime Health Services | $2,185 | 1219% |
| Three Rivers Provider Network | $2,458 | 1372% |
| Cmh Detroit Wayne Integrated Health Network | $2,731 | 1524% |
| Cmh Lenawee County | $2,731 | 1524% |
| Cmh Livingston County | $2,731 | 1524% |
| Cmh Misc | $2,731 | 1524% |
| Cmh Monroe County | $2,731 | 1524% |
| Cmh Oakland County | $2,731 | 1524% |
| Cmh Washtenaw County | $2,731 | 1524% |