CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Artesia General Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,239
Cash Discount Price: $1,858
vs. Medicare Baseline: 6.91x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Artesia General Hospital is $1,239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,858. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.91x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$1,858

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,239

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: $1,858 (1037%)

Insurance Median: $1,239 (691%)

Cash: $1,858 (1037% of Medicare)

Ins. Median: $1,239 (691% 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 691% of the Medicare baseline (a markup of 591%). 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
Zelis	$147 - $1,239	82%
Triwest	$169	94%
Blue Cross Blue Shield	$172 - $1,858	96%
Geha	$172 - $2,478	96%
Humana	$172 - $190	96%
Molina Healthcare Of New Mexico	$172 - $360	96%
Presbyterian Health Plan	$172 - $416	96%
UnitedHealthcare	$172 - $2,632	96%
Vistacare Hospice	$172	96%
First Health	$288 - $2,787	161%
New Mexico Health Connections	$293	164%
Providence Risk & Insurance Services	$345 - $2,942	193%
Omni Networks	$2,168	1210%
Three Rivers Provider Network	$2,323	1296%
Cigna	$2,632 - $2,787	1469%
Galaxy Health	$2,787	1555%
One Health Plan	$2,787	1555%
Multiplan	$2,818	1573%
United Payors & United Providers	$2,880	1607%

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 $1,858.
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 Artesia General Hospital 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.