CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,554
Cash Discount Price: $1,345
vs. Medicare Baseline: 8.67x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Holy Cross Hospital - Salt Lake is $1,554. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,345. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.67x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$1,345

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,554

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: $1,345 (751%)

Insurance Median: $1,554 (867%)

Cash: $1,345 (751% of Medicare)

Ins. Median: $1,554 (867% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 867% of the Medicare baseline (a markup of 767%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Denver Health	$75	42%
Health Choice	$75	42%
Medicaid / KanCare	$75	42%
Rocky Mountain Health Plan	$75	42%
Uuhp	$75 - $668	42%
Humana	$87	49%
Medicare (plans)	$87	49%
Employer Direct Healthcare	$109	61%
Motivhealth	$115	64%
Blue Cross Blue Shield	$175 - $2,017	98%
Molina	$203 - $1,444	113%
Cigna	$243 - $2,690	136%
Centura Employee Plan	$337	188%
UnitedHealthcare	$444	248%
Pehp	$1,436 - $3,362	801%
Aetna	$1,485 - $2,841	829%
Wise	$1,748 - $1,782	975%
Deseret Mutual Benefit Administrators	$2,064	1152%
Select Health	$2,225	1242%
Multiplan	$2,320 - $3,059	1295%
Emi Health	$3,362	1876%

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 $1,345.
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 Holy Cross Hospital - Salt Lake 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.