CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercy Hospital of Buffalo

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $78
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercy Hospital of Buffalo is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.73x the Medicare baseline. Located in 565 Abbott Road, Buffalo, NY.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $247 (231%)
Insurance Median: $78 (73%)
Cash: $247 (231% of Medicare)
Ins. Median: $78 (73% 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.

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 $27 - $148 25%
Medicaid / KanCare $32 - $127 30%
VA Veterans Affairs [700001] $33 - $104 31%
Univera Healthcare [100169] $34 - $129 32%
Univera Healthcare Essential [100170] $34 - $145 32%
Fidelis Essential [100163] $35 - $273 33%
Crime Victims [100176] $35 - $127 33%
Beacon Essential [350122] $35 - $125 33%
Amerigroup [350102] $35 - $162 33%
Blue Cross Blue Shield $35 - $273 33%
Vna Option Mltc [350110] $35 - $127 33%
Tuscarora Nation [550120] $35 - $127 33%
Independent Health Essential [100166] $35 - $145 33%
Excellus Rochester McD [350117] $35 - $127 33%
Ghi [100153] $37 - $99 35%
Medicare (plans) $38 - $175 36%
Catholic Health Life Pace [400005] $39 - $104 37%
Aetna $39 - $109 37%
Covid19 Hrsa [45013] $39 - $104 37%
Cigna $39 - $151 37%
Humana $39 - $109 37%
Champ VA [700002] $39 - $104 37%
Hospice [550001] $39 - $104 37%
Meritain [100063] $39 - $104 37%
Seneca Nation [450119] $39 - $104 37%
Magnacare [100142] $39 - $104 37%
Fallon Health [450115] $39 - $104 37%
Tricare $39 - $104 37%
Wellcare Fidelis Dual [450451] $40 - $109 37%
Fidelis Dual Advantage [450120] $40 - $109 37%
Iha First Choice [800001] $42 - $292 39%
Independent Health [100165] $42 - $290 39%
Wellcare [450129] $43 - $114 40%
UPMC Health Plan [100181] $46 - $226 43%
Fidelis Exchange [100164] $46 - $125 43%
Beacon Health Options [100023] $46 - $125 43%
Mvp Healthcare [100168] $53 - $140 50%
Molina Essential [100167] $79 - $286 74%
Federal Workers Compensation [500100] $101 - $403 95%
No Fault [114001] $101 - $403 95%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals