CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Saint Mary's Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $624
  • Cash Discount Price: $1,301
  • vs. Medicare Baseline: 3.48x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Saint Mary's Hospital is $624. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,301. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.48x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$1,301

Average discount available for prompt cash payment at this facility.

Insurance Median
$624

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: $1,301 (726%)
Insurance Median: $624 (348%)
Cash: $1,301 (726% of Medicare)
Ins. Median: $624 (348% 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 348% of the Medicare baseline (a markup of 248%). 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 - $268 115%
Blue Cross Blue Shield $206 - $624 115%
Medicare (plans) $206 - $214 115%
UnitedHealthcare $206 - $2,365 115%
Cca Senior Care Options $210 117%
Cigna $212 - $1,892 118%
1199 National Benefit Fund $268 150%
Allied Benefit Systems $268 150%
Gravie Admin Services $268 150%
Hap $268 150%
Luminare Health $268 150%
Meritain $268 150%
Nippon Life Ins $268 150%
Webtpa $268 150%
Geha $292 163%
Harvard Pilgrim Healthcare $292 163%
Allegiance $338 189%
Health Partners $338 189%
Magnacare $338 189%
Centivo $421 235%
Claimdoc $442 247%
Diversified Administrators $442 247%
Innovative Health Plan II $442 247%
Connecticare $542 - $553 302%
Bcn Domestic $624 348%
Blue Benefit Administrators of Massachusetts $624 348%
Blue Care Network $624 348%
Blue Distinction Transplant $624 348%
Blue Shield - Ca $624 348%
Blue Shield - Id (Regence) $624 348%
Blue Shield - Ny Highmark Northeastern $624 348%
Blue Shield - Ny Highmark Western $624 348%
Blue Shield - PA (Highmark) $624 348%
Blue Shield - Wa (Regence) $624 348%
Health Choices $624 348%
Kaiser Domestic $624 348%
Pre-Employment $624 348%
Unicare $624 348%
Wc Domestic $624 348%
Wellpoint $624 348%
Carelon Behavioral Health $1,182 660%
Health New England $1,254 700%
Allied National Global Care $1,821 1016%
Asrm - Reliance Standard Life Insurance $1,821 1016%
Christian Care Ministry $1,821 1016%
Dean Health $1,821 1016%
Fallon Health $1,821 1016%
Family Life Insurance Company $1,821 1016%
Ghc Scw $1,821 1016%
International Benefit Administrators $1,821 1016%
Lifetime Benefit Solutions $1,821 1016%
Manhattan Life $1,821 1016%
Medi Share $1,821 1016%
Multiplan $1,821 1016%
Mvp $1,821 1016%
PHCS $1,821 1016%
Pai $1,821 1016%
Pan-American Life $1,821 1016%
Paramount HMO $1,821 1016%
Trinity Health Share $1,821 1016%
Prime Health Services $1,892 1056%
Health Smart $2,010 1122%
United Behavioral Health Eap $2,365 1320%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals