CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St Francis Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $442
  • Cash Discount Price: $882
  • vs. Medicare Baseline: 4.14x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at St Francis Hospital is $442. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $882. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.14x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.
Cash / Self-Pay
$882

Average discount available for prompt cash payment at this facility.

Insurance Median
$442

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: $882 (826%)
Insurance Median: $442 (414%)
Cash: $882 (826% of Medicare)
Ins. Median: $442 (414% 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 414% of the Medicare baseline (a markup of 314%). 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
Pace-Trinity Health $109 102%
Saint Francis Life $109 102%
Blue Cross Blue Shield $111 - $531 104%
Cigna $112 - $840 105%
Medicare (plans) $114 - $117 107%
Blue Shield - De (Highmark) Medciare Advantage $115 108%
Highmark Health Options Dual Plan $115 108%
Aetna $118 - $882 110%
Coventry $134 125%
Delaware First Health $142 - $224 133%
Blue Benefit Administrators Of Massachusetts $442 414%
Blue Care Network $442 414%
Blue Distinction Transplant $442 414%
Blue Shield - Ca $442 414%
Blue Shield - Id (Regence) $442 414%
Blue Shield - Ny Highmark Northeastern $442 414%
Blue Shield - Ny Highmark Western $442 414%
Blue Shield - Pa (Highmark) $442 414%
Blue Shield - Wa (Regence) $442 414%
Medicaid / KanCare $475 445%
Meritain $882 826%
Trustmark Small Business Benefits $882 826%
Devon Health Services $1,289 1207%
Galaxy Health Network $1,289 1207%
Multiplan $1,289 1207%
Prime Health Services $1,289 1207%
Three Rivers Provider Network $1,289 1207%
Wc Corvel $1,289 1207%
Geha $1,303 1220%
UnitedHealthcare $1,303 1220%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals