CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Hospital Metropolitano Dr Pila

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $109
  • Cash Discount Price: $350
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Hospital Metropolitano Dr Pila is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $350. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.61x the Medicare baseline. Located in 2435 Boulevard Luis A Ferre, Ponce, PR.
Cash / Self-Pay
$350

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $350 (195%)
Insurance Median: $109 (61%)
Cash: $350 (195% of Medicare)
Ins. Median: $109 (61% 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
First Medical $44 - $162 25%
Triple S $44 - $138 25%
Mso $51 - $80 28%
Privado $52 29%
Auxilio Mutuo $69 39%
Va $73 41%
Acaa $89 50%
Hospicio $91 51%
Humana $101 - $210 56%
Mcs $105 - $158 59%
Tricare $105 59%
Ch $109 61%
Fondo Del Seguro Estado $109 61%
Salud Correccional $109 61%
Plan De Salud Menonita $125 - $150 70%
Prossam $129 72%
Bl $138 77%
Cigna $162 90%
Comerciales $175 98%
Life Link $175 98%
Mc $175 98%
Wellcare $175 98%
Aarp $300 167%
Mapfre $325 181%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2435 Boulevard Luis A Ferre, Ponce, PR 00717
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals