CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Holy Cross Hospital-Davis

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,379
Cash Discount Price: $1,072
vs. Medicare Baseline: 12.91x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Holy Cross Hospital-Davis is $1,379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,072. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.91x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.

Cash / Self-Pay

$1,072

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,379

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: $1,072 (1004%)

Insurance Median: $1,379 (1291%)

Cash: $1,072 (1004% of Medicare)

Ins. Median: $1,379 (1291% 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 1291% of the Medicare baseline (a markup of 1191%). 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
Select Health	$48 - $1,317	45%
Medicaid / KanCare	$53	50%
Uuhp	$53 - $465	50%
Humana	$61	57%
Medicare (plans)	$61	57%
Employer Direct Healthcare	$76	71%
Motivhealth	$80	75%
Blue Cross Blue Shield	$105 - $1,608	98%
Molina	$142 - $1,150	133%
Cigna	$243 - $2,143	228%
Centura Employee Plan	$337	316%
Pehp	$1,144 - $1,554	1071%
Aetna	$1,184 - $2,264	1109%
Wise	$1,393 - $1,420	1304%
Deseret Mutual Benefit Administrators	$1,645	1540%
Multiplan	$1,849 - $2,438	1731%
UnitedHealthcare	$1,943 - $2,679	1819%
Emi Health	$2,331	2182%

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 $1,072.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holy Cross Hospital-Davis is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.