Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CTA HEAD W/WO CONTRAST
LAFAYETTE, CO
See all hospitals reporting CPT 70496 →Price type
Good Samaritan Medical Center, Llc Dba’s median price of $1.4k is 165% above the median hospital's median price ($519), higher than 78% of the 2,615 hospitals reporting CPT 70496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 90 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare uhc mrp php prime facility · case rate · outpatient | $177.11 | $177.11 | $177.11 – $177.11 |
| 2 | UnitedHealthcare uhc rmhp mrp dualcare facility · case rate · outpatient | $177.11 | $177.11 | $177.11 – $177.11 |
| 3 | UnitedHealthcare united healthcare mrp facility · case rate · outpatient | $177.11 | $177.11 | $177.11 – $177.11 |
| 4 | UnitedHealthcare united healthcare optum mrp facility · case rate · outpatient | $177.11 | $177.11 | $177.11 – $177.11 |
| 5 | Kaiser kaiser snp facility · case rate · outpatient | $178.90 | $178.90 | $178.90 – $178.90 |
| 6 | Kaiser kp select hmo facility · percent of total billed charges · outpatientfrom % of charges | $596.05 | $596.05 | $596.05 – $596.05 |
| 7 | Aetna aetna colorado preferred facility · fee schedule · outpatient | $685.19 | $685.19 | $685.19 – $685.19 |
| 8 | Kaiser kaiser hmo exchange plan facility · percent of total billed charges · outpatientfrom % of charges | $741.04 | $741.04 | $741.04 – $741.04 |
| 9 | Kaiser kaiser out of state facility · percent of total billed charges · outpatientfrom % of charges | $741.04 | $741.04 | $741.04 – $741.04 |
| 10 | Kaiser kaiser permanente hmo facility · percent of total billed charges · outpatientfrom % of charges | $741.04 | $741.04 | $741.04 – $741.04 |
| 11 | Kaiser kaiser self funded facility · percent of total billed charges · outpatientfrom % of charges | $741.04 | $741.04 | $741.04 – $741.04 |
| 12 | Aetna aetna hmo/epo facility · fee schedule · outpatient | $746.23 | $746.23 | $746.23 – $746.23 |
| 13 | Aetna aetna indemnity facility · fee schedule · outpatient | $746.23 | $746.23 | $746.23 – $746.23 |
| 14 | Aetna aetna other facility · fee schedule · outpatient | $746.23 | $746.23 | $746.23 – $746.23 |
| 15 | Aetna aetna pos/qpos facility · fee schedule · outpatient | $746.23 | $746.23 | $746.23 – $746.23 |
| 16 | Aetna aetna ppo facility · fee schedule · outpatient | $746.23 | $746.23 | $746.23 – $746.23 |
| 17 | Aetna aetna src facility · fee schedule · outpatient | $746.23 | $746.23 | $746.23 – $746.23 |
| 18 | Kaiser kaiser perm ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $751.99 | $751.99 | $751.99 – $751.99 |
| 19 | Cigna cigna sclhs cdhp facility · percent of total billed charges · outpatientfrom % of charges | $805.48 | $805.48 | $805.48 – $805.48 |
| 20 | Cigna cigna co public option facility · percent of total billed charges · outpatientfrom % of charges | $819.97 | $819.97 | $819.97 – $819.97 |
| 21 | Cigna cigna connect exchange facility · percent of total billed charges · outpatientfrom % of charges | $819.97 | $819.97 | $819.97 – $819.97 |
| 22 | Cigna cigna surefit facility · percent of total billed charges · outpatientfrom % of charges | $819.97 | $819.97 | $819.97 – $819.97 |
| 23 | Anthem bcbs co federal facility · fee schedule · outpatient | $886.00 | $886.00 | $886.00 – $886.00 |
| 24 | Anthem bcbs co hmo facility · fee schedule · outpatient | $886.00 | $886.00 | $886.00 – $886.00 |
| 25 | Anthem bcbs co ppo facility · fee schedule · outpatient | $886.00 | $886.00 | $886.00 – $886.00 |
Last updated: Mar 22, 2026
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