CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Tufts Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $710
  • Cash Discount Price: $1,026
  • vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Tufts Medical Center is $710. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,026. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.96x the Medicare baseline. Located in 800 Washington Street, Boston, MA.
Cash / Self-Pay
$1,026

Average discount available for prompt cash payment at this facility.

Insurance Median
$710

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: $1,026 (573%)
Insurance Median: $710 (396%)
Cash: $1,026 (573% of Medicare)
Ins. Median: $710 (396% 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 396% of the Medicare baseline (a markup of 296%). 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
Harvard Pilgrim Healthcare [100241] $202 113%
Health Plans Inc [100262] $202 113%
UnitedHealthcare $202 - $1,465 113%
Wellsense Clarity Connectorcare [100256] $385 - $522 215%
Tufts Health Public Plan Connectorcare [100264] $416 - $580 232%
Allied Benefit Systems [100015] $513 286%
Allied National Global Care [100107] $513 286%
American Postal Workers [100089] $513 286%
Amerihealth Caritas Nh [350007] $513 286%
Assurant [100020] $513 286%
Avmed Health Plan [100247] $513 286%
Benemax [100276] $513 286%
Care One [950007] $513 286%
Carecentrix Alternate [100257] $513 286%
Compsych [100027] $513 286%
Coresource [100285] $513 286%
Coventry [100010] $513 286%
D'Youville Senior Care [950003] $513 286%
Employee Benefit Management [100033] $513 286%
First Health [100278] $513 286%
Geha [100039] $513 286%
Generic Commercial [109999] $513 286%
Group And Pension Administrators [100043] $513 286%
Ibew Local 103 [100272] $513 286%
Lowell Comm Health Center [950009] $513 286%
Magellan Behavioral Health [100288] $513 286%
Medicaid / KanCare $513 - $1,465 286%
Mutual Of Omaha [100074] $513 286%
National Association Of Letter Carriers [100067] $513 286%
National Elevator Ind Hlth Benefits [100273] $513 286%
Norfolk County [500013] $513 286%
Northwood Rehabilitation & Health [950004] $513 286%
Nova Healthcare Administrators [100270] $513 286%
Palm Manor [950005] $513 286%
Plymouth County [500019] $513 286%
Spectera [100291] $513 286%
Sunny Acres Nursing Home [950006] $513 286%
Tall Tree Administrators [100271] $513 286%
Ultra Benefits [100280] $513 286%
Umass Disability [500017] $513 286%
Wellsense Nh [350010] $513 286%
Allaracare [100163] $552 308%
Tufts Health Plan [100263] $671 - $943 374%
Wc Acadia Insurance Company [700108] $710 396%
Wc Aig [700029] $710 396%
Wc Aim Mutual Insurance [700054] $710 396%
Wc Alternative Service Concept [700065] $710 396%
Wc Ameritrust [700066] $710 396%
Wc Arrow Mutual Liability [700063] $710 396%
Wc Atlantic Charter [700064] $710 396%
Wc Berkshire Hathaway [700046] $710 396%
Wc Boston Police And Firefighter [700061] $710 396%
Wc Broadspire [700043] $710 396%
Wc Careworks [700109] $710 396%
Wc Cbcs [700110] $710 396%
Wc Ccmsi [700055] $710 396%
Wc Chubb Group [700067] $710 396%
Wc Cic/Mcmc [700068] $710 396%
Wc City Of Boston [700111] $710 396%
Wc City Of Cambridge [700069] $710 396%
Wc City Of Chelsea [700070] $710 396%
Wc City Of Everett [700071] $710 396%
Wc City Of Lowell [700062] $710 396%
Wc City Of Lynn [700072] $710 396%
Wc City Of Medford [700073] $710 396%
Wc City Of Melrose Police [700112] $710 396%
Wc City Of Melrose [700113] $710 396%
Wc City Of Newton [700074] $710 396%
Wc City Of Peabody [700075] $710 396%
Wc City Of Revere [700076] $710 396%
Wc City Of Somerville [700077] $710 396%
Wc Cna [700048] $710 396%
Wc Commonwealth Of Mass [700056] $710 396%
Wc Consigly Construction [700079] $710 396%
Wc Constitution State Services [700114] $710 396%
Wc Continental Indemnity Co [700078] $710 396%
Wc Corvel [700115] $710 396%
Wc Cove Risk Services [700080] $710 396%
Wc Creative Risk Solutions [700081] $710 396%
Wc Crum & Forster [700082] $710 396%
Wc Demoulas Supermarket [700083] $710 396%
Wc Emc Insurance Company [700084] $710 396%
Wc Energy Of Environmental Affairs [700085] $710 396%
Wc Esis [700010] $710 396%
Wc Federated Work Comp [700012] $710 396%
Wc Future Comp [700116] $710 396%
Wc Gallagher Bassett Work Comp [700013] $710 396%
Wc Geico [700057] $710 396%
Wc Generic Workers' Comp [709999] $710 396%
Wc Gowry Group [700086] $710 396%
Wc Hartford Insurance [700058] $710 396%
Wc Hrd/Workers Compensation Unit [700087] $710 396%
Wc Liberty Mutual Work Comp [700016] $710 396%
Wc Mapfre Insurance [700089] $710 396%
Wc Mass Nahro Insurance Group Trust [700090] $710 396%
Wc Mass State Police [700091] $710 396%
Wc Mbta [700092] $710 396%
Wc Meditrol [700093] $710 396%
Wc Memic [700117] $710 396%
Wc Metlife [700094] $710 396%
Wc Miia [700095] $710 396%
Wc Ml Healthcare Services Llc [700119] $710 396%
Wc Norfolk & Dedham Group [700096] $710 396%
Wc Norguard Ins Co [700097] $710 396%
Wc One Call Medical [700060] $710 396%
Wc Plumbers Union Local No 12 [700098] $710 396%
Wc Plymouth Rock [700099] $710 396%
Wc Pma Work Comp [700031] $710 396%
Wc Progressive Direct Insurance Co [700106] $710 396%
Wc Retail Business Services Llc [700100] $710 396%
Wc Rising Medical Solution [700101] $710 396%
Wc Sedgwick [700027] $710 396%
Wc Selective Insurance Co [700118] $710 396%
Wc Sentry [700036] $710 396%
Wc Sutter House [700102] $710 396%
Wc Town Of Andover Fire Dept [700103] $710 396%
Wc Town Of Arlington [700104] $710 396%
Wc Travelers Insurance [700059] $710 396%
Wc Us Department Of Labor [700023] $710 396%
Wc Vermont Mutual Insurance Group [700105] $710 396%
Wc York Risk Services [700049] $710 396%
Wc Zurich [700034] $710 396%
Cigna $732 - $943 408%
Blue Benefits Administrators [100267] $780 435%
Blue Cross Blue Shield $780 - $1,465 435%
Wellpoint [100139] $790 441%
Aetna $943 - $1,465 526%
Meritain [100063] $943 526%
Claritev/Multiplan [100275] $1,187 662%
Cypress Benefit Administrators [100122] $1,187 662%
Health New England [100268] $1,187 662%
Patient Advocates [100307] $1,187 662%
Medicare (plans) $1,465 818%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Washington Street, Boston, MA 02111
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals