CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Northern Nevada Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,027
  • Cash Discount Price: $3,816
  • vs. Medicare Baseline: 11.31x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Northern Nevada Medical Center is $2,027. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,816. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.31x the Medicare baseline. Located in 2375 E Prater Way, Sparks, NV.
Cash / Self-Pay
$3,816

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,027

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: $3,816 (2129%)
Insurance Median: $2,027 (1131%)
Cash: $3,816 (2129% of Medicare)
Ins. Median: $2,027 (1131% 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 1131% of the Medicare baseline (a markup of 1031%). 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.

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
Blue Cross Blue Shield $214 119%
Smart_Choice $214 119%
Silver_Summit $219 122%
Molina $221 123%
United_Healthcare $410 229%
Humana $810 - $858 452%
Aetna $1,404 - $3,121 783%
Prominence $1,543 - $2,350 861%
Sierra_Health_Options $1,604 - $2,442 895%
Cigna $1,626 - $3,571 907%
Nevada_Preferred_Providers $2,004 - $3,052 1118%
Business_Coalition $4,425 - $6,738 2469%
Multiplan $5,446 - $8,293 3039%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2375 E Prater Way, Sparks, NV 89434
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals