CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $207
  • Cash Discount Price: $931
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mt Sinai Hospital Medical Center is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $931. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.16x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$931

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $931 (520%)
Insurance Median: $207 (116%)
Cash: $931 (520% of Medicare)
Ins. Median: $207 (116% 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.

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
Partners In Hlth - All Plans $91 - $973 51%
Blue Cross Blue Shield $102 - $1,547 57%
Healthlink Hmo $114 - $1,216 64%
Healthlink Ppo - All Other Plans $114 - $1,216 64%
Compsych Ip/Op Only - All Plans $137 - $1,460 76%
Hfn Platinum $148 - $1,581 83%
Multiplan Primary Ntwrk/Phcs - All Other Plans $160 - $1,703 89%
Cigna $177 - $3,007 99%
Hfn Epo $182 - $1,946 102%
Multiplan Complementary Ntwrk $182 - $1,946 102%
Tricare $182 102%
Va Healthnet - All Plans $182 102%
Advocate Physician Prtnrs Mcr $188 105%
Cenpatico Illinicare Dual $188 105%
Cenpatico Illinicare Mcr - All Other Plans $188 105%
Humana $188 - $7,638 105%
Lawndale Christian - All Plans $188 - $602 105%
Meridian/Harmony D-Snp - All Plans $188 105%
Nextlevel Hlth Icp Fhp Aca - All Plans $188 105%
UnitedHealthcare $188 - $893 105%
Harmony Behavioral Htlh - All Plans $194 108%
Zing Mcr Adv - All Plans $195 109%
Molina Mcr - All Other Plans $197 110%
Hfn Ppo - All Other Plans $201 - $2,141 112%
Advocate Physician Prtnrs - All Other Plans $207 116%
Ambetter / Centene $207 - $2,554 116%
Oscar - All Plans $251 - $2,554 140%
Aetna $477 - $5,498 266%
Family Health Network Mcaid - All Plans $477 266%
Molina Mcaid $501 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals