CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Holyoke Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $217
Cash Discount Price: $925
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Holyoke Medical Center is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $925. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.21x the Medicare baseline. Located in 575 Beech Street, Holyoke, MA.

Cash / Self-Pay

$925

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $925 (516%)

Insurance Median: $217 (121%)

Cash: $925 (516% of Medicare)

Ins. Median: $217 (121% 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
Aetna	$192 - $197	107%
Blue Cross Blue Shield	$197 - $391	110%
Health New England	$197 - $544	110%
Tufts Health Plan	$197 - $422	110%
UnitedHealthcare	$197 - $1,602	110%
Commonwealth Care Alliance	$207	116%
Wellsense Sco	$209	117%
Fallon	$211 - $217	118%
Wellcare	$211	118%
Bmchp	$214	119%
Senior Whole Health	$227	127%
Tufts Health Public Plans	$237 - $456	132%
Cigna	$243	136%
Wellsense Direct Metals Silver	$267	149%
Harvard Pilgrim	$307	171%
Gic Unicare	$528	295%

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 $925.
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 Holyoke Medical Center 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.