CT scan, head (no contrast)
Facility: Physicians Care Surgical Hospital
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $365
- Cash Discount Price: $271
- vs. Medicare Baseline: 3.42x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 342% of the Medicare baseline (a markup of 242%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticare | $124 | 116% |
| Blue Cross Blue Shield | $194 - $365 | 182% |
| Highmark | $194 | 182% |
| Pcsh Aarp | $338 | 316% |
| Aarp | $338 | 316% |
| Cigna | $338 | 316% |
| Gpm Health and Life Insurance Mc Supplement | $338 | 316% |
| Humana | $338 | 316% |
| Aetna | $338 - $714 | 316% |
| Ibc Security 65 | $338 | 316% |
| Unified Health Services | $338 | 316% |
| Personal Choice 65 | $338 | 316% |
| Tricare | $338 | 316% |
| Vibra Health Plan | $338 | 316% |
| UnitedHealthcare | $338 - $718 | 316% |
| Keystone 65 HMO | $338 | 316% |
| Medicare (plans) | $338 | 316% |
| Devon Health Services | $338 | 316% |
| Shenandoah Life | $338 | 316% |
| Ibc 2021 | $365 | 342% |
| Independence Bc | $365 | 342% |
| Pcsh Ibc | $365 | 342% |
| Amerihealth New Jersey HMO | $365 | 342% |
| Regence Blue Shield | $365 | 342% |
| Keystone HMO | $365 | 342% |
| Carefirst Administrators | $365 | 342% |
| Keystone Direct POS | $365 | 342% |
| Independence Federal | $365 | 342% |
| Keystone Healthplan East | $365 | 342% |
| Amerihealth Administrators | $365 | 342% |
| Ibc | $365 | 342% |
| Empire Plan | $365 | 342% |
| Personal Choice | $365 | 342% |
| Independence Administrators | $365 | 342% |
| Ibc Local | $365 | 342% |
| Horizon of New Jersey | $365 | 342% |
| Ibc - Local | $365 | 342% |
| Allied Benefits Systems | $714 | 668% |
| Continental Benefits | $714 | 668% |
| Meritain Health | $714 | 668% |
| Marpai Health | $714 | 668% |
| Healthez | $714 | 668% |
| Ag Administrators | $714 | 668% |
| Allied Benefit Systems | $714 | 668% |
| Premier Care Network | $714 | 668% |
| Lucent Health | $714 | 668% |
| Coventry | $714 | 668% |
| Ag Administrators Inc | $714 | 668% |
| Geha | $714 | 668% |
| Trustmark | $714 | 668% |
| Oxford Life Insurance Company | $718 | 672% |
| Surest | $718 | 672% |
| Allsavers | $718 | 672% |
| Golden Rule Op | $718 | 672% |
| Oxford Health Plan | $718 | 672% |