CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Hospital Pavia Hato Rey, Inc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $117
  • Cash Discount Price: $703
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Hospital Pavia Hato Rey, Inc is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $703. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in Ave Ponce De Leon 435, Hato Rey, PR.
Cash / Self-Pay
$703

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $703 (658%)
Insurance Median: $117 (110%)
Cash: $703 (658% of Medicare)
Ins. Median: $117 (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
Tricare $37 35%
First Medical $42 - $162 39%
Plan De Salud Menonita $43 - $150 40%
Mso $46 - $73 43%
Fondo Del Seguro Estado $59 55%
Auxilio Salud Plus $69 65%
Plan Socios Auxilio $69 65%
Va $74 69%
Triple S $75 - $124 70%
Acaa $82 77%
Prossam $98 92%
Mcs $105 - $131 98%
Humana $117 - $138 110%
Bl $138 129%
Cigna $139 130%
Mapfre $150 140%
Mc $150 140%
Corvel Network $151 141%
Ch $162 152%
Bella Vista $219 205%
Privado $265 248%
Aarp $275 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Ave Ponce De Leon 435, Hato Rey, PR 00919
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals