CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Hospital Pavia Arecibo

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $130
Cash Discount Price: $188
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Hospital Pavia Arecibo is $130. 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 $179.2, this hospital’s rate is 0.73x 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

$130

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: $188 (105%)

Insurance Median: $130 (73%)

Cash: $188 (105% of Medicare)

Ins. Median: $130 (73% 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.

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
Medicare (plans)	$62	35%
First Medical	$63 - $162	35%
Plan Auxilio Mutuo	$63	35%
Plan De Salud Menonita	$63 - $134	35%
Triple S	$63 - $162	35%
Mso	$77 - $86	43%
Comerciales	$90	50%
Mc	$90	50%
Fondo Del Seguro Estado	$93	52%
Prossam	$122	68%
Ch	$130	73%
Humana	$130 - $197	73%
Mcs	$130 - $162	73%
Tricare	$130	73%
Va	$130	73%
Cigna	$148	83%
Bl	$162	90%
Corecare	$162	90%
Mapfre	$162	90%
Privado	$162	90%
Hospicio	$186	104%
Auxilio Platino	$201	112%
Aarp	$650	363%

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 $188.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hospital Pavia Arecibo is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.