CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Saint Mary's Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $267
  • Cash Discount Price: $190
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Saint Mary's Regional Medical Center is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.49x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$190

Average discount available for prompt cash payment at this facility.

Insurance Median
$267

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: $190 (106%)
Insurance Median: $267 (149%)
Cash: $190 (106% of Medicare)
Ins. Median: $267 (149% 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.

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
Occunet $87 - $382 49%
Blue Cross Blue Shield $148 - $368 83%
Health Plan Of Nevada $148 - $1,082 83%
Medicaid / KanCare $148 83%
Silver Summit $148 - $334 83%
Molina Healthcare Of Nv $151 - $191 84%
Aetna $191 - $676 107%
Medicare (plans) $191 107%
Saint Mary Health Plan $191 - $219 107%
Sierra $191 - $1,082 107%
Tricare $191 107%
Triwest $191 107%
Alignment $195 109%
UnitedHealthcare $196 - $2,402 109%
Access To Healthcare Network $200 112%
Pam $219 122%
Veterans Evaluation Service Ves $238 133%
Employer Direct $267 149%
Home Town Test $267 149%
Naphcare $267 149%
Asserta Health $286 160%
Imperial Insurance Company $286 - $353 160%
Custom Ink $297 166%
Nevada Health Partners $354 198%
6 Degrees $382 213%
Nv Preferred $406 - $1,083 227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals