CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Johnson Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $606
  • Cash Discount Price: $948
  • vs. Medicare Baseline: 3.38x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Johnson Memorial Hospital is $606. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $948. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.38x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$948

Average discount available for prompt cash payment at this facility.

Insurance Median
$606

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: $948 (529%)
Insurance Median: $606 (338%)
Cash: $948 (529% of Medicare)
Ins. Median: $606 (338% 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 338% of the Medicare baseline (a markup of 238%). 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 $206 - $386 115%
Blue Cross Blue Shield $206 - $606 115%
Medicare (plans) $206 - $217 115%
UnitedHealthcare $206 - $1,724 115%
Cca Senior Care Options $210 117%
Cigna $212 - $1,345 118%
Fallon Health $273 152%
Geha $292 163%
Harvard Pilgrim Healthcare $292 163%
1199 National Benefit Fund $386 215%
Allied Benefit Systems $386 215%
Gravie Admin Services $386 215%
Hap $386 215%
Luminare Health $386 215%
Meritain $386 215%
Nippon Life Ins $386 215%
Webtpa $386 215%
Allegiance $391 218%
Health Partners $391 218%
Magnacare $391 218%
Claimdoc $442 247%
Diversified Administrators $442 247%
Innovative Health Plan Ii $442 247%
Centivo $490 273%
Bcn Domestic $606 338%
Blue Benefit Administrators Of Massachusetts $606 338%
Blue Care Network $606 338%
Blue Distinction Transplant $606 338%
Blue Shield - Ca $606 338%
Blue Shield - Id (Regence) $606 338%
Blue Shield - Ny Highmark Northeastern $606 338%
Blue Shield - Ny Highmark Western $606 338%
Blue Shield - Pa (Highmark) $606 338%
Blue Shield - Wa (Regence) $606 338%
Health Choices $606 338%
Kaiser Domestic $606 338%
Pre-Employment $606 338%
Unicare $606 338%
Wc Domestic $606 338%
Wellpoint $606 338%
Connecticare $752 - $939 420%
Health New England $1,121 626%
Prime Health Services $1,379 770%
Allied National Global Care $1,431 799%
Asrm - Reliance Standard Life Insurance $1,431 799%
Christian Care Ministry $1,431 799%
Dean Health $1,431 799%
Family Life Insurance Company $1,431 799%
Ghc Scw $1,431 799%
International Benefit Administrators $1,431 799%
Lifetime Benefit Solutions $1,431 799%
Manhattan Life $1,431 799%
Medi Share $1,431 799%
Multiplan $1,431 799%
Mvp $1,431 799%
Pai $1,431 799%
Pan-American Life $1,431 799%
Paramount Hmo $1,431 799%
Phcs $1,431 799%
Trinity Health Share $1,431 799%
Health Smart $1,465 818%
United Behavioral Health Eap $1,724 962%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals