CMS Price Transparency Data

CT scan, head (no contrast)

Facility: American Fork Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $766
  • Cash Discount Price: $1,355
  • vs. Medicare Baseline: 7.17x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at American Fork Hospital is $766. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,355. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.17x the Medicare baseline. Located in 170 North 1100 East, American Fork, UT.
Cash / Self-Pay
$1,355

Average discount available for prompt cash payment at this facility.

Insurance Median
$766

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: $1,355 (1269%)
Insurance Median: $766 (717%)
Cash: $1,355 (1269% of Medicare)
Ins. Median: $766 (717% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 717% of the Medicare baseline (a markup of 617%). 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 $33 - $437 31%
Aetna $40 - $1,536 37%
American Health $40 - $109 37%
Blue Cross Blue Shield $40 - $1,373 37%
Health Partners Of Nevada $40 - $105 37%
Health Plan Of Nevada $40 - $87 37%
Healthy U $40 - $87 37%
Humana $40 - $110 37%
Molina $40 - $116 37%
Selecthealth $40 - $914 37%
UnitedHealthcare $40 - $1,536 37%
Triwest $102 95%
Intermountain Caregiver Plan $300 - $871 281%
Awh Connected $533 - $1,165 499%
Byu Athletics $533 - $1,301 499%
Campbell Scientific $533 - $1,301 499%
Deseret Mutual $533 - $1,039 499%
Emi $533 - $976 499%
Emi Health $533 - $1,254 499%
Franklin County $533 - $1,301 499%
Ifit $533 - $1,301 499%
Juniper Systems $533 - $1,301 499%
Lw Miller $533 - $1,301 499%
Pehp $533 - $1,608 499%
Tanner Llc $533 - $1,301 499%
Utah Tech $533 - $1,301 499%
Cigna $1,138 - $1,536 1065%
Byu Risk Management $1,265 - $1,319 1184%
Corporation Of The President $1,265 - $1,319 1184%
Wcf Insurance $1,265 - $1,319 1184%
Corvel Corporation $1,301 1218%
Injury Care Of Nevada $1,355 1269%
Managed Care Admin $1,409 1319%
Prodegi Corp Benefit $1,482 1388%
Uofu $1,482 1388%
Springtide $1,500 1404%
Global Excel $1,536 1438%
Medcare International $1,536 1438%
Motivhealth $1,536 1438%
Wise Network $1,536 1438%
Hygeia Corporation $1,626 1522%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 170 North 1100 East, American Fork, UT 84003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals