CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Hospital Metropolitano Dr Pila

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $111
Cash Discount Price: $300
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Hospital Metropolitano Dr Pila is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 2435 Boulevard Luis A Ferre, Ponce, PR.

Cash / Self-Pay

$300

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $300 (281%)

Insurance Median: $111 (104%)

Cash: $300 (281% of Medicare)

Ins. Median: $111 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
First Medical	$32 - $162	30%
Triple S	$32 - $138	30%
Privado	$36	34%
Mso	$37 - $57	35%
Va	$52	49%
Acaa	$60	56%
Hospicio	$70	66%
Mcs	$73 - $131	68%
Tricare	$73	68%
Ch	$74	69%
Salud Correccional	$74	69%
Fondo Del Seguro Estado	$75	70%
Humana	$91 - $206	85%
Plan De Salud Menonita	$111 - $150	104%
Prossam	$120	112%
Bl	$138	129%
Cigna	$139	130%
Comerciales	$150	140%
Life Link	$150	140%
Mc	$150	140%
Wellcare	$150	140%
Auxilio Mutuo	$162	152%
Aarp	$275	257%
Mapfre	$300	281%

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 $300.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hospital Metropolitano Dr Pila is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.