CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Manati Medical Center Dr Otero Lopez

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $288
Cash Discount Price: $425
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Manati Medical Center Dr Otero Lopez is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.61x the Medicare baseline. Located in Carr 668 Calle Hernandez Carrion Urb Atenas, Manati, PR.

Cash / Self-Pay

$425

Average discount available for prompt cash payment at this facility.

Insurance Median

$288

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: $425 (237%)

Insurance Median: $288 (161%)

Cash: $425 (237% of Medicare)

Ins. Median: $288 (161% 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)	$51	28%
Triple S	$220 - $234	123%
Plan Vital	$231 - $243	129%
Triple S Com	$231 - $275	129%
Acaa	$268	150%
Mmm	$275	153%
Menonita Comercial	$300	167%
McS Classicare	$350	195%
Medical Card System	$350	195%
International Medical Card	$412	230%
Humana	$420	234%
Clinical Research	$424	237%
Mapfre	$488	272%
Prossam	$520	290%
Palic	$525	293%

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 $425.
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 Manati Medical Center Dr Otero Lopez 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.