CMS Price Transparency Data

CT scan, head (no contrast)

Facility: PAM Rehabilitation Hospital of Dover

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,674
  • Cash Discount Price: $3,566
  • vs. Medicare Baseline: 25.04x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at PAM Rehabilitation Hospital of Dover is $2,674. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,566. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 25.04x the Medicare baseline. Located in 1240 McKee Rd, Dover, DE.
Cash / Self-Pay
$3,566

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,674

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: $3,566 (3339%)
Insurance Median: $2,674 (2504%)
Cash: $3,566 (3339% of Medicare)
Ins. Median: $2,674 (2504% 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 2504% of the Medicare baseline (a markup of 2404%). 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 (Milford Wellness Village) $104 97%
Americas Choice Provider Network $2,496 2337%
Provider Network Of America $2,674 2504%
Quik Trip $2,674 2504%
Usa Managed Care Organization $2,674 2504%
Velocity Provider Ppo Network $2,674 2504%
Multiplan/Phcs $2,853 2671%
Prime Health Services $3,031 2838%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1240 McKee Rd, Dover, DE 19904
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL