CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $320
Cash Discount Price: $2,932
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at UMass Memorial Healthalliance Hospitals is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,932. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.79x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$2,932

Average discount available for prompt cash payment at this facility.

Insurance Median

$320

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: $2,932 (1636%)

Insurance Median: $320 (179%)

Cash: $2,932 (1636% of Medicare)

Ins. Median: $320 (179% 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.

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
Champva [11001]	$190	106%
Medicare (plans)	$210	117%
Cigna	$213 - $1,992	119%
Correctional Care [11003]	$213	119%
Institution [10406]	$213 - $1,554	119%
Medicaid / KanCare	$213 - $1,525	119%
Tufts Dual [10111]	$213	119%
Tufts Us Family [11203]	$213	119%
Blue Cross Blue Shield	$217 - $559	121%
Aetna	$223	124%
Commonwealth Care Mcr [10115]	$223	124%
Fallon Mcr Supp [20202]	$223	124%
Harvard Pilgrim Mcr [10106]	$223	124%
Mgb Mcr [10124]	$223	124%
Tufts Mcr [10112]	$223	124%
UnitedHealthcare	$223 - $2,932	124%
Senior Whole Health [10110]	$228	127%
Hsno/Free Care [10801]	$294	164%
Workers Compensation [20501]	$346	193%
Tufts Connectorcare [10507]	$362	202%
Tufts [11201]	$475	265%
Wellpoint [11112]	$685	382%
Hne [11108]	$1,636	913%
First Health Network [11120]	$2,199	1227%
Multiplan [11109]	$2,199	1227%
Connecticare [11105]	$2,932	1636%
Fallon Carelon Hlth [28]	$2,932	1636%
Fallon Mcaid Carelon Hlth [29]	$2,932	1636%
Grants [20507]	$2,932	1636%

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 $2,932.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UMass Memorial Healthalliance Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.