CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Hospital San Francisco

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $137
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Hospital San Francisco is $137. 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 $179.2, this hospital’s rate is 0.76x 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
$137

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: $163 (91%)
Insurance Median: $137 (76%)
Cash: $163 (91% of Medicare)
Ins. Median: $137 (76% 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
Triple S $52 - $275 29%
First Medical $54 - $218 30%
Mso $60 - $98 33%
Aarp $77 43%
Pr Other Insurances $97 54%
Fondo Del Seguro Estado $98 55%
Humana $98 - $137 55%
Mcs $98 - $172 55%
Medicare (plans) $98 55%
Tricare $98 55%
Ch $130 73%
Mpc - Us $130 73%
UnitedHealthcare $130 73%
Us $130 73%
Plan De Salud Menonita $137 - $150 76%
Comerciales $158 88%
Mapfre $162 90%
Privado $162 90%
Western Medical Hospice $162 90%
Mc $175 98%
Acaa $255 142%
Corvel Network $275 153%
Mpc-Pr Other Insurances $275 153%
Bl $300 167%
Cigna $300 167%
Medicaid / KanCare $300 167%
Prossam $300 167%
Va $333 186%

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