CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Sunrise Hospital and Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $150
Cash Discount Price: $568
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Sunrise Hospital and Medical Center is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $568. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.84x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$568

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $568 (317%)

Insurance Median: $150 (84%)

Cash: $568 (317% of Medicare)

Ins. Median: $150 (84% 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
United	$41 - $2,674	23%
Humana	$43 - $387	24%
Amerigroup	$50 - $214	28%
Health Plan Nevada	$50 - $225	28%
Molina	$52 - $236	29%
Silver Summit	$52 - $236	29%
Healthcare Partners Of Nv	$56 - $230	31%
Blue Cross Blue Shield	$57 - $226	32%
Aetna	$58 - $929	32%
Alignment Health Plan	$58 - $170	32%
Caremore	$60 - $179	33%
Multiplan	$62 - $9,339	35%
Community Care Health	$66 - $214	37%
Hometown Health Providers	$66 - $310	37%
Molina Healthcare	$66 - $223	37%
Sierra Hpn	$66 - $214	37%
Culinary Health Fund	$67 - $533	37%
Ambetter / Centene	$69 - $2,687	39%
Cigna	$72 - $938	40%
Sierra	$75 - $402	42%
Select Health	$116 - $2,949	65%
Legacy Provider Network	$1,089	608%
Corvel	$1,150 - $1,215	642%
Comp-Med Workers Comp	$1,174	655%
Olympus Medsave Usa	$1,210 - $9,595	675%
Prominence Healthfirst	$3,838	2142%
Cmn Global	$5,373	2998%
Nv Health & Welfare Trust	$7,676	4283%
First Health	$8,443 - $10,234	4711%
Medcare International	$9,595	5354%

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 $568.
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 Sunrise Hospital and Medical Center 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.