CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Hospital San Francisco

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $128
Cash Discount Price: $163
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Hospital San Francisco is $128. 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 0.71x 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

$128

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: $128 (71%)

Cash: $163 (91% of Medicare)

Ins. Median: $128 (71% 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
Triple S	$44 - $275	25%
First Medical	$46 - $154	26%
Mso	$51 - $83	28%
Aarp	$65	36%
Pr Other Insurances	$78	44%
Mcs	$82 - $182	46%
Humana	$83 - $128	46%
Medicare (plans)	$83	46%
Tricare	$83	46%
Fondo Del Seguro Estado	$84	47%
Ch	$109	61%
Mpc - Us	$109	61%
UnitedHealthcare	$109	61%
Us	$109	61%
Plan De Salud Menonita	$117 - $150	65%
Comerciales	$151	84%
Mapfre	$162	90%
Privado	$162	90%
Western Medical Hospice	$162	90%
Mc	$175	98%
Acaa	$217	121%
Corvel Network	$275	153%
Mpc-Pr Other Insurances	$275	153%
Cigna	$280	156%
Medicaid / KanCare	$280	156%
Prossam	$280	156%
Bl	$288	161%
Va	$327	182%

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 $163.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hospital San Francisco is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.