CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Johnson Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $500
  • Cash Discount Price: $866
  • vs. Medicare Baseline: 2.79x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Johnson Memorial Hospital is $500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $866. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.79x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$866

Average discount available for prompt cash payment at this facility.

Insurance Median
$500

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: $866 (483%)
Insurance Median: $500 (279%)
Cash: $866 (483% of Medicare)
Ins. Median: $500 (279% 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 279% of the Medicare baseline (a markup of 179%). 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 - $325 115%
Blue Cross Blue Shield $206 - $500 115%
Medicare (plans) $206 - $217 115%
UnitedHealthcare $206 - $1,574 115%
Cca Senior Care Options $210 117%
Cigna $212 - $1,228 118%
Fallon Health $273 152%
Geha $292 163%
Harvard Pilgrim Healthcare $292 163%
1199 National Benefit Fund $325 181%
Allied Benefit Systems $325 181%
Gravie Admin Services $325 181%
Hap $325 181%
Luminare Health $325 181%
Meritain $325 181%
Nippon Life Ins $325 181%
Webtpa $325 181%
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 $500 279%
Blue Benefit Administrators Of Massachusetts $500 279%
Blue Care Network $500 279%
Blue Distinction Transplant $500 279%
Blue Shield - Ca $500 279%
Blue Shield - Id (Regence) $500 279%
Blue Shield - Ny Highmark Northeastern $500 279%
Blue Shield - Ny Highmark Western $500 279%
Blue Shield - Pa (Highmark) $500 279%
Blue Shield - Wa (Regence) $500 279%
Health Choices $500 279%
Kaiser Domestic $500 279%
Pre-Employment $500 279%
Unicare $500 279%
Wc Domestic $500 279%
Wellpoint $500 279%
Connecticare $625 - $781 349%
Health New England $1,023 571%
Prime Health Services $1,259 703%
Allied National Global Care $1,306 729%
Asrm - Reliance Standard Life Insurance $1,306 729%
Christian Care Ministry $1,306 729%
Dean Health $1,306 729%
Family Life Insurance Company $1,306 729%
Ghc Scw $1,306 729%
International Benefit Administrators $1,306 729%
Lifetime Benefit Solutions $1,306 729%
Manhattan Life $1,306 729%
Medi Share $1,306 729%
Multiplan $1,306 729%
Mvp $1,306 729%
Pai $1,306 729%
Pan-American Life $1,306 729%
Paramount Hmo $1,306 729%
Phcs $1,306 729%
Trinity Health Share $1,306 729%
Health Smart $1,338 747%
United Behavioral Health Eap $1,574 878%

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