CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Boston Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $216
  • Cash Discount Price: $1,124
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Boston Medical Center is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,124. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.21x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$1,124

Average discount available for prompt cash payment at this facility.

Insurance Median
$216

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: $1,124 (627%)
Insurance Median: $216 (121%)
Cash: $1,124 (627% of Medicare)
Ins. Median: $216 (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.

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
Oxford Health [1007] $179 100%
Oxford Health [2024] $179 100%
United [2025] $179 - $202 100%
UnitedHealthcare $179 - $204 100%
Zzzunited [1008] $179 - $202 100%
Champva [9004] $201 112%
Tricare $201 112%
Harvard Pilgrim Health Care [8001] $202 113%
Health Plans Inc [2027] $202 113%
Zzzhealth Plans Inc [1013] $202 113%
Aetna $204 - $1,221 114%
Blue Cross Blue Shield $204 - $502 114%
Humana $204 114%
Medicare (plans) $204 - $214 114%
Neighborhood Pace [1206] $204 114%
Tufts [8002] $204 - $594 114%
Ubh Hphc [8016] $204 114%
Veterans Admin [9003] $204 114%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $204 114%
Wellcare [1240] $212 118%
Cca [1215] $214 119%
Corrections [9001] $214 - $255 119%
Zzzcca Onecare [1216] $214 119%
Eternalhealth [1227] $216 121%
Fallon Sco [1126] $224 125%
Senior Whole Health [1210] $245 137%
Fallon [8008] $265 148%
Workers Comp [5002] $280 156%
Zzzbu Employee Work Comp [5004] $280 156%
Zzzcity Of Boston Work Comp [5003] $280 156%
Tufts Conncare/Qhp [8020] $289 - $431 161%
Unicare [8004] $388 217%
Wellpoint [2034] $388 217%
Hsn Bad Debt [4003] $513 286%
Hsn Confidential [4007] $513 286%
Hsn Dental [4006] $513 286%
Hsn Partial [4002] $513 286%
Hsn [4001] $513 286%
Cigna $594 - $2,122 331%
Medicaid / KanCare $899 502%
Uphams Corner Esp [1213] $999 557%
Meritain Health [1023] $1,099 613%
Mass General Brigham Health Plan Commercial [8009] $1,347 752%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals