CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Southcoast Hospitals Group

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $237
Cash Discount Price: $728
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Southcoast Hospitals Group is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $728. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.32x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$728

Average discount available for prompt cash payment at this facility.

Insurance Median

$237

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: $728 (406%)

Insurance Median: $237 (132%)

Cash: $728 (406% of Medicare)

Ins. Median: $237 (132% 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
Medicare (plans)	$124 - $254	69%
Blue Cross Blue Shield	$202 - $560	113%
Wellsense Health Plan [1010202]	$204	114%
Aetna	$211 - $1,107	118%
Evercare [1010304]	$211	118%
Tufts Senior Care Options [1010315]	$211	118%
UnitedHealthcare	$211 - $280	118%
Wellsense Health Plan Senior Care Options [1020208	$214	119%
Commonwealth Care Alliance [1080501]	$218 - $220	122%
Eternal Health [1010322]	$233	130%
Tufts Health Public Plans [1010213]	$235 - $412	131%
Fallon [1000114]	$296	165%
Wellsense Health Plan Clarity Connectorcare & Meta	$311	174%
Harvard Pilgrim [1010602]	$383	214%
Cigna	$587	328%
Tufts [1010701]	$608	339%
Wellpoint [1000102]	$687	383%
Mass General Brigham Health Plan Commercial [10122	$820	458%
Mass General Brigham Health Plan Connectorcare [10	$820	458%
Group Insurance Service Center [1013001]	$873	487%
Innovative Health Plan [1025001]	$873	487%
Priority Health [1015001]	$873	487%
PHCS [1000125]	$946	528%
First Health [1000130]	$1,107	618%

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 $728.
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 Southcoast Hospitals Group 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.