CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lds Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $890
  • Cash Discount Price: $1,574
  • vs. Medicare Baseline: 4.97x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lds Hospital is $890. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,574. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.97x the Medicare baseline. Located in 8Th Avenue and C Street, Salt Lake City, UT.
Cash / Self-Pay
$1,574

Average discount available for prompt cash payment at this facility.

Insurance Median
$890

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: $1,574 (878%)
Insurance Median: $890 (497%)
Cash: $1,574 (878% of Medicare)
Ins. Median: $890 (497% 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 497% of the Medicare baseline (a markup of 397%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Donor Connect $27 - $544 15%
Aetna $53 - $1,784 30%
American Health $53 - $178 30%
Blue Cross Blue Shield $53 - $1,595 30%
Health Partners Of Nevada $53 - $178 30%
Humana $53 - $186 30%
Molina $53 - $1,721 30%
Selecthealth $53 - $1,062 30%
Southwest Behavioral Health $53 - $167 30%
UnitedHealthcare $53 - $1,784 30%
Triwest $171 95%
Health Plan Of Nevada $178 - $630 99%
Healthy U $178 99%
Intermountain Caregiver Plan $584 - $1,012 326%
Awh Connected $805 - $1,354 449%
Byu Athletics $805 - $1,511 449%
Campbell Scientific $805 - $1,511 449%
Deseret Mutual $805 - $1,217 449%
Emi $805 - $1,133 449%
Emi Health $805 - $1,457 449%
Franklin County $805 - $1,511 449%
Ifit $805 - $1,511 449%
Juniper Systems $805 - $1,511 449%
Lw Miller $805 - $1,511 449%
Pehp $805 - $1,868 449%
Tanner Llc $805 - $1,511 449%
Utah Tech $805 - $1,511 449%
Cigna $1,322 - $1,784 738%
Byu Risk Management $1,469 - $1,532 820%
Corporation Of The President $1,469 - $1,532 820%
Wcf Insurance $1,469 - $1,532 820%
Corvel Corporation $1,511 843%
Managed Care Admin $1,511 - $1,637 843%
Injury Care Of Nevada $1,574 878%
Prodegi Corp Benefit $1,721 960%
Uofu $1,721 960%
Springtide $1,742 972%
Altius Mhnet Behavioral Health $1,784 996%
First Choice $1,784 996%
Global Excel $1,784 996%
Medcare International $1,784 996%
Motivhealth $1,784 996%
Utah Behavioral Health Network $1,784 996%
Wise Network $1,784 996%
Hygeia Corporation $1,889 1054%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8Th Avenue and C Street, Salt Lake City, UT 84143
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals