CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Falmouth Hospital

Billing Code: 70470 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$278

about 1.6× the $179 Medicare rate · typically $254–$335

modeled estimate · not a bill or quote

What this hospital charges insurers

$272

About the fair price

about $6 under the fair price · 1.5× Medicare

Medicare pays $179 Fair price $278 This hospital $272 Cash price $886 Hospital's list price $2,085

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $192 Priciest $272

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (with and without contrast) is about $278 (about 1.6× the $179 Medicare rate). Falmouth Hospital charges insurers about $272, or about $886 in cash — about the fair price. Located in Falmouth, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$212	118%
Blue Cross Blue Shieldmajor	$225 - $951	126%
Harvard Pilgrim	$276	154%
UniCare	$870	485%
WellSense	$548	306%
+ 4 smaller / regional plans	$178 - $506

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 886), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70470.

Insurance Before you use insurance

Call your insurance company to confirm Falmouth Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Falmouth Hospital

Compare: CT scan, head (with and without contrast) at other MA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.