CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Medstar Georgetown University Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $702
  • Cash Discount Price: $1,644
  • vs. Medicare Baseline: 6.57x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Medstar Georgetown University Hospital is $702. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,644. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.57x the Medicare baseline. Located in 3800 Reservoir Rd, Washington, DC.
Cash / Self-Pay
$1,644

Average discount available for prompt cash payment at this facility.

Insurance Median
$702

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,644 (1539%)
Insurance Median: $702 (657%)
Cash: $1,644 (1539% of Medicare)
Ins. Median: $702 (657% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 657% of the Medicare baseline (a markup of 557%). 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
Carefirst Advantage Inc $124 116%
Tricare $124 116%
UnitedHealthcare $124 - $885 116%
Aetna $127 - $729 119%
Health Care Service Corporation $130 122%
Humana $130 122%
Blue Cross Blue Shield $510 477%
Amerigroup $693 649%
Amerihealth Caritas District Of Columbia $693 649%
Hscsn $693 649%
Medstar Family Choice Inc $693 - $708 649%
Cigna $702 657%
Carefirst Blue Choice Inc $865 810%
Pfc $1,644 1539%
Private Healthcare Systems (Phcs) $2,023 1894%
First Health $2,149 2012%
Beech Street $2,276 2131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3800 Reservoir Rd, Washington, DC 20007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals