CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Hospital San Francisco

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $118
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Hospital San Francisco is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $163 (153%)
Insurance Median: $118 (110%)
Cash: $163 (153% of Medicare)
Ins. Median: $118 (110% 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 $33 - $154 31%
Mso $39 - $59 37%
Aarp $48 45%
Triple S $51 - $275 48%
Pr Other Insurances $57 53%
Mcs $58 - $160 54%
Fondo Del Seguro Estado $59 55%
Humana $59 - $118 55%
Medicare (plans) $59 55%
Tricare $59 55%
Ch $74 69%
Mpc - Us $74 69%
UnitedHealthcare $74 69%
Us $74 69%
Plan De Salud Menonita $83 - $150 78%
Comerciales $146 137%
Mapfre $150 140%
Mc $150 140%
Privado $162 152%
Western Medical Hospice $162 152%
Acaa $199 186%
Bl $275 257%
Cigna $275 257%
Corvel Network $275 257%
Medicaid / KanCare $275 257%
Mpc-Pr Other Insurances $275 257%
Prossam $275 257%
Va $325 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals