CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Berkshire Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,175
Cash Discount Price: $2,017
vs. Medicare Baseline: 6.56x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Berkshire Medical Center is $1,175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,017. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.56x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$2,017

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,175

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: $2,017 (1126%)

Insurance Median: $1,175 (656%)

Cash: $2,017 (1126% of Medicare)

Ins. Median: $1,175 (656% 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 656% of the Medicare baseline (a markup of 556%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cdphp	$120 - $1,911	67%
Health New England	$120 - $1,481	67%
Mcd Out Of State	$120 - $191	67%
Medicaid / KanCare	$120 - $191	67%
Comm Tufts Qhpsub (Network)	$132 - $1,200	74%
Point32Health	$132 - $2,017	74%
Bmchnp	$138 - $248	77%
Medicare (plans)	$152 - $222	85%
Other Government	$153 - $225	85%
Hospice	$154 - $225	86%
UnitedHealthcare	$154 - $1,826	86%
Blue Cross Blue Shield	$159 - $1,805	89%
Commcare Alliance	$159 - $266	89%
Fallon	$162 - $934	90%
Aetna	$182 - $1,603	102%
Mbhp	$191	107%
Workers Comp	$280 - $1,288	156%
Comm Hne Hmo	$291 - $1,399	162%
Comm Hne Ppo	$309 - $1,487	172%
Unicare	$351 - $1,377	196%
Allways Nhp	$925 - $1,374	516%
Beacon	$1,215 - $1,911	678%
Cigna	$1,287 - $1,975	718%
Mvp	$1,287 - $1,911	718%
Oxford	$1,287 - $1,911	718%
First Health	$1,330 - $2,017	742%
Connecticare	$1,358 - $2,017	758%
Consolidated Health Plans	$1,358 - $2,017	758%
Other Commercial	$1,358 - $2,017	758%
Phcs	$1,358 - $2,017	758%
Self Pay	$1,358 - $2,017	758%

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 $2,017.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Berkshire Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.