CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Hospital Pavia Hato Rey, Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $136
  • Cash Discount Price: $825
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Hospital Pavia Hato Rey, Inc is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $825. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.76x the Medicare baseline. Located in Ave Ponce De Leon 435, Hato Rey, PR.
Cash / Self-Pay
$825

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $825 (460%)
Insurance Median: $136 (76%)
Cash: $825 (460% of Medicare)
Ins. Median: $136 (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
Tricare $55 31%
First Medical $68 - $162 38%
Auxilio Salud Plus $69 39%
Plan De Salud Menonita $69 - $150 39%
Plan Socios Auxilio $69 39%
Mso $75 - $128 42%
Triple S $84 - $131 47%
Fondo Del Seguro Estado $98 55%
Prossam $112 63%
Mcs $122 - $158 68%
Va $130 73%
Humana $141 - $150 79%
Privado $145 81%
Corvel Network $151 84%
Mapfre $162 90%
Cigna $173 97%
Mc $175 98%
Ch $206 115%
Bl $231 129%
Bella Vista $312 174%
Aarp $650 363%

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