CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Hospital Pavia Arecibo

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $110
  • Cash Discount Price: $188
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Hospital Pavia Arecibo is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.03x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$188

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $188 (176%)
Insurance Median: $110 (103%)
Cash: $188 (176% of Medicare)
Ins. Median: $110 (103% 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.

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 $36 - $162 34%
Plan Auxilio Mutuo $36 34%
Plan De Salud Menonita $36 - $138 34%
Medicare (plans) $41 38%
Mso $44 - $53 41%
Mc $51 48%
Comerciales $52 49%
Ch $74 69%
Humana $74 - $191 69%
Mcs $74 - $158 69%
Tricare $74 69%
Va $74 69%
Triple S $75 - $138 70%
Fondo Del Seguro Estado $80 75%
Prossam $112 105%
Cigna $117 110%
Hospicio $117 110%
Auxilio Platino $126 118%
Bl $138 129%
Corecare $162 152%
Mapfre $162 152%
Privado $162 152%
Acaa $164 154%
Aarp $275 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals