CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: PAM Health Specialty Hospital of Reno

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,910
  • Cash Discount Price: $5,013
  • vs. Medicare Baseline: 21.82x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at PAM Health Specialty Hospital of Reno is $3,910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,013. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 21.82x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$5,013

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,910

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: $5,013 (2797%)
Insurance Median: $3,910 (2182%)
Cash: $5,013 (2797% of Medicare)
Ins. Median: $3,910 (2182% 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 2182% of the Medicare baseline (a markup of 2082%). 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
America'S Choice $3,509 1958%
Provider Network Of Amercia $3,760 2098%
Quik Trip $3,760 2098%
Usa Managed Care Organization $3,760 2098%
Velocity Provider Ppo Network $3,760 2098%
Healthsmart $3,910 2182%
Evolutions Healthcare System $4,011 2238%
Multiplan $4,011 2238%
Beech Street $4,261 2378%
Galaxy Health Network $4,261 2378%
Prime Health Services $4,261 2378%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL