CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Hospital Pavia Hato Rey, Inc

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $124
Cash Discount Price: $730
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Hospital Pavia Hato Rey, Inc is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $730. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.69x the Medicare baseline. Located in Ave Ponce De Leon 435, Hato Rey, PR.

Cash / Self-Pay

$730

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $730 (407%)

Insurance Median: $124 (69%)

Cash: $730 (407% of Medicare)

Ins. Median: $124 (69% 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
Tricare	$49	27%
First Medical	$58 - $162	32%
Plan De Salud Menonita	$60 - $150	33%
Mso	$64 - $106	36%
Auxilio Salud Plus	$69	39%
Plan Socios Auxilio	$69	39%
Triple S	$81 - $124	45%
Fondo Del Seguro Estado	$84	47%
Acaa	$89	50%
Prossam	$109	61%
Va	$109	61%
Mcs	$122 - $158	68%
Humana	$133 - $141	74%
Bl	$144	80%
Corvel Network	$151	84%
Cigna	$162	90%
Mapfre	$162	90%
Ch	$167	93%
Mc	$175	98%
Bella Vista	$238	133%
Privado	$275	153%
Aarp	$300	167%

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 $730.
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 Pavia Hato Rey, Inc 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.