CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Medstar Health Physical Therapy

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $432
Cash Discount Price: $432
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Medstar Health Physical Therapy is $432. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $432. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.41x the Medicare baseline. Located in 102 Irving St Nw, Washington, DC.

Cash / Self-Pay

$432

Average discount available for prompt cash payment at this facility.

Insurance Median

$432

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: $432 (241%)

Insurance Median: $432 (241%)

Cash: $432 (241% of Medicare)

Ins. Median: $432 (241% 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 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$184	103%
Tricare	$187	104%
UnitedHealthcare	$187 - $532	104%
Aetna	$189 - $301	105%
Health Care Service Corporation	$193	108%
Humana	$193	108%
Kaiser Permanente	$193 - $607	108%
Carefirst Blue Choice Inc	$326 - $426	182%
Jhhc	$432	241%
Pfc	$432	241%
Medstar Family Choice Inc	$472	263%
Cigna	$499	278%
Kaiser	$520	290%
First Health	$565	315%
Private Healthcare Systems (Phcs)	$565	315%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $432.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medstar Health Physical Therapy is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.