CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Sisters of Charity Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $139
  • Cash Discount Price: $357
  • vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Sisters of Charity Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.78x the Medicare baseline. Located in 2157 Main Street, Buffalo, NY.
Cash / Self-Pay
$357

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $357 (199%)
Insurance Median: $139 (78%)
Cash: $357 (199% of Medicare)
Ins. Median: $139 (78% 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.

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
UnitedHealthcare $41 - $268 23%
Medicaid / KanCare $48 - $201 27%
VA Veterans Affairs [700001] $49 - $145 27%
Univera Healthcare [100169] $51 - $211 28%
Univera Healthcare Essential [100170] $51 - $263 28%
Beacon Essential [350122] $52 - $204 29%
Vna Option Mltc [350110] $53 - $201 30%
Tuscarora Nation [550120] $53 - $201 30%
Independent Health Essential [100166] $53 - $237 30%
Excellus Rochester McD [350117] $53 - $201 30%
Crime Victims [100176] $53 - $201 30%
Ghi [100153] $55 - $162 31%
Medicare (plans) $57 - $287 32%
Hospice [550001] $58 - $170 32%
Tricare $58 - $170 32%
Champ VA [700002] $58 - $170 32%
Fallon Health [450115] $58 - $170 32%
Seneca Nation [450119] $58 - $170 32%
Cigna $58 - $247 32%
Catholic Health Life Pace [400005] $58 - $170 32%
Covid19 Hrsa [45013] $58 - $170 32%
Wellcare Fidelis Dual [450451] $61 - $179 34%
Aetna $61 - $179 34%
Fidelis Dual Advantage [450120] $61 - $179 34%
Humana $61 - $179 34%
Iha First Choice [800001] $63 - $619 35%
Independent Health [100165] $63 - $475 35%
Wellcare [450129] $64 - $187 36%
Fidelis Essential [100163] $64 - $493 36%
Blue Cross Blue Shield $66 - $493 37%
Beacon Health Options [100023] $70 - $204 39%
Fidelis Exchange [100164] $70 - $204 39%
Mvp Healthcare [100168] $79 - $232 44%
Amerigroup [350102] $92 - $267 51%
UPMC Health Plan [100181] $105 - $306 59%
Molina Essential [100167] $120 - $493 67%
Federal Workers Compensation [500100] $139 - $556 78%
Workers Compensation [500101] $139 - $556 78%
No Fault [114001] $139 - $556 78%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2157 Main Street, Buffalo, NY 14214
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals