CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Francis Hospital & Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $658
  • Cash Discount Price: $994
  • vs. Medicare Baseline: 3.67x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St Francis Hospital & Medical Center is $658. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $994. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.67x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$994

Average discount available for prompt cash payment at this facility.

Insurance Median
$658

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: $994 (555%)
Insurance Median: $658 (367%)
Cash: $994 (555% of Medicare)
Ins. Median: $658 (367% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 367% of the Medicare baseline (a markup of 267%). 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.

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
Connecticut Dept of Correction $194 108%
Aetna $201 - $251 112%
Blue Cross Blue Shield $206 - $731 115%
Medicare (plans) $206 - $217 115%
Cca Senior Care Options $210 117%
UnitedHealthcare $210 - $292 117%
Cigna $212 - $1,446 118%
1199 National Benefit Fund $251 140%
Allied Benefit Systems $251 140%
Gravie Admin Services $251 140%
Hap $251 140%
Luminare Health $251 140%
Meritain $251 140%
Nippon Life Ins $251 140%
Webtpa $251 140%
Fallon Health $273 152%
Geha $292 163%
Harvard Pilgrim Healthcare $292 163%
Connecticare $331 - $404 185%
Centivo $421 235%
Innovative Health Plan II $442 247%
Allegiance $455 254%
Health Partners $455 254%
Magnacare $455 254%
Bcn Domestic $731 408%
Blue Benefit Administrators of Massachusetts $731 408%
Blue Care Network $731 408%
Blue Distinction Transplant $731 408%
Blue Shield - Ca $731 408%
Blue Shield - Id (Regence) $731 408%
Blue Shield - Ny Highmark Northeastern $731 408%
Blue Shield - Ny Highmark Western $731 408%
Blue Shield - PA (Highmark) $731 408%
Blue Shield - Wa (Regence) $731 408%
Health Choices $731 408%
Kaiser Domestic $731 408%
Pre-Employment $731 408%
Unicare $731 408%
Wc Domestic $731 408%
Wellpoint $731 408%
Health New England $997 556%
Allied National Global Care $1,229 686%
Asrm - Reliance Standard Life Insurance $1,229 686%
Christian Care Ministry $1,229 686%
Dean Health $1,229 686%
Family Life Insurance Company $1,229 686%
Ghc Scw $1,229 686%
International Benefit Administrators $1,229 686%
Lifetime Benefit Solutions $1,229 686%
Manhattan Life $1,229 686%
Medi Share $1,229 686%
Multiplan $1,229 686%
Mvp $1,229 686%
PHCS $1,229 686%
Pai $1,229 686%
Pan-American Life $1,229 686%
Paramount HMO $1,229 686%
Trinity Health Share $1,229 686%
Prime Health Services $1,265 706%
Health Smart $1,536 857%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals