CT scan, head (with contrast)
Facility: Physicians Care Surgical Hospital
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $427
- Cash Discount Price: $316
- vs. Medicare Baseline: 2.38x 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 $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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 238% of the Medicare baseline (a markup of 138%). 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 | $222 | 124% |
| Highmark | $324 | 181% |
| Blue Cross Blue Shield | $324 - $427 | 181% |
| Personal Choice 65 | $395 | 220% |
| Pcsh Aarp | $395 | 220% |
| UnitedHealthcare | $395 - $839 | 220% |
| Keystone 65 HMO | $395 | 220% |
| Aetna | $395 - $832 | 220% |
| Vibra Health Plan | $395 | 220% |
| Unified Health Services | $395 | 220% |
| Cigna | $395 | 220% |
| Devon Health Services | $395 | 220% |
| Shenandoah Life | $395 | 220% |
| Humana | $395 | 220% |
| Medicare (plans) | $395 | 220% |
| Ibc Security 65 | $395 | 220% |
| Aarp | $395 | 220% |
| Gpm Health and Life Insurance Mc Supplement | $395 | 220% |
| Tricare | $395 | 220% |
| Amerihealth Administrators | $427 | 238% |
| Personal Choice | $427 | 238% |
| Keystone HMO | $427 | 238% |
| Keystone Direct POS | $427 | 238% |
| Independence Bc | $427 | 238% |
| Ibc 2021 | $427 | 238% |
| Ibc - Local | $427 | 238% |
| Independence Federal | $427 | 238% |
| Pcsh Ibc | $427 | 238% |
| Regence Blue Shield | $427 | 238% |
| Horizon of New Jersey | $427 | 238% |
| Carefirst Administrators | $427 | 238% |
| Independence Administrators | $427 | 238% |
| Empire Plan | $427 | 238% |
| Amerihealth New Jersey HMO | $427 | 238% |
| Ibc Local | $427 | 238% |
| Keystone Healthplan East | $427 | 238% |
| Ibc | $427 | 238% |
| Ag Administrators | $832 | 464% |
| Geha | $832 | 464% |
| Premier Care Network | $832 | 464% |
| Marpai Health | $832 | 464% |
| Coventry | $832 | 464% |
| Ag Administrators Inc | $832 | 464% |
| Allied Benefit Systems | $832 | 464% |
| Meritain Health | $832 | 464% |
| Allied Benefits Systems | $832 | 464% |
| Healthez | $832 | 464% |
| Continental Benefits | $832 | 464% |
| Lucent Health | $832 | 464% |
| Trustmark | $832 | 464% |
| Surest | $839 | 468% |
| Oxford Life Insurance Company | $839 | 468% |
| Allsavers | $839 | 468% |
| Golden Rule Op | $839 | 468% |
| Oxford Health Plan | $839 | 468% |