CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cambridge Health Alliance

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $902
  • Cash Discount Price: $902
  • vs. Medicare Baseline: 5.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cambridge Health Alliance is $902. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $902. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.03x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.
Cash / Self-Pay
$902

Average discount available for prompt cash payment at this facility.

Insurance Median
$902

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: $902 (503%)
Insurance Median: $902 (503%)
Cash: $902 (503% of Medicare)
Ins. Median: $902 (503% 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 503% of the Medicare baseline (a markup of 403%). 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
Blue Cross Blue Shield $249 - $902 139%
Wc [90001] $338 189%
Other Tufts Health Public Plan [75002] $356 199%
Aarp [40001] $410 229%
Oxford Health [40004] $410 229%
United Medical Resource [40005] $410 229%
UnitedHealthcare $410 - $581 229%
Wellpoint [50012] $446 249%
Aetna $545 - $902 304%
Mass General Brigham [50021] $574 320%
Health Plans Inc [20002] $581 324%
Hphc [20001] $581 324%
Multiplan [50010] $613 342%
Cigna $619 - $1,071 345%
Tufts Health Plan [30001] $619 - $712 345%
Altus Dental [99011] $902 503%
Beacon Health Strategies [50002] $902 503%
Cbhc Uninsured Crisis Alt Payer [70097] $902 503%
Cbhc Uninsured Crisis [70096] $902 503%
Celticare [50004] $902 503%
Commonwealth Care Alliance Dental [99004] $902 503%
Coverage Discovery [90004] $902 503%
Delta Dental Of Ma [99007] $902 503%
Dominion National Dental [99012] $902 503%
Dph Tb Payor [85004] $902 503%
Esp Dental [99003] $902 503%
Eyemed Alt Payor [13001] $902 503%
First Health [50007] $902 503%
Global Medical Management [50024] $902 503%
Government Employee Health Association [50023] $902 503%
Guardian Dental [99013] $902 503%
Health Safety Net Dental [99002] $902 503%
Humana $902 503%
Ma Laborers Health And Welfare Fund [50022] $902 503%
Magellan Health Services [65098] $902 503%
Mass Health Dental [99001] $902 503%
Medical Mutual Of Ohio [50019] $902 503%
Medicare (plans) $902 503%
Metlife Dental [99008] $902 503%
Modern Assistance Program [30098] $902 503%
Mva [90002] $902 503%
Neighborhood Health Plan [50011] $902 503%
Other Bh Payor [50014] $902 503%
Other Commercial Payor [50015] $902 503%
Other Dental Payor [99014] $902 503%
Other Dual Eligible Payer [65004] $902 503%
Other Gov'T Alt [85006] $902 503%
Other Vision Payor [50013] $902 503%
Ri Neighborhood Health Plan [50017] $902 503%
Tricare $902 503%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals