CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Fairview Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $705
  • Cash Discount Price: $1,515
  • vs. Medicare Baseline: 6.60x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Fairview Hospital is $705. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,515. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.60x the Medicare baseline. Located in 29 Lewis Avenue, Great Barrington, MA.
Cash / Self-Pay
$1,515

Average discount available for prompt cash payment at this facility.

Insurance Median
$705

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,515 (1418%)
Insurance Median: $705 (660%)
Cash: $1,515 (1418% of Medicare)
Ins. Median: $705 (660% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 660% of the Medicare baseline (a markup of 560%). 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
Health New England $86 - $1,112 81%
Medicaid / KanCare $86 - $386 81%
Aetna $91 - $1,204 85%
Point32Health $94 - $1,515 88%
Bmchnp $99 - $401 93%
Medicare (plans) $109 - $612 102%
Other Government $110 - $622 103%
Hospice $111 - $622 104%
UnitedHealthcare $111 - $1,372 104%
Fallon $114 - $702 107%
Capital District Physicians' Health Plan $121 - $1,436 113%
Blue Cross Blue Shield $125 - $1,356 117%
Commcare Alliance $131 - $610 123%
Comm Fallon Qhp $165 - $983 154%
Comm Hne Hmo $209 - $1,051 196%
Comm Hne Ppo $222 - $1,117 208%
Workers Comp $222 - $1,017 208%
Unicare $251 - $1,034 235%
Allways Nhp $695 - $1,032 651%
Cigna $966 - $1,483 904%
Mvp $966 - $1,436 904%
Oxford $966 - $1,436 904%
First Health $999 - $1,515 935%
Connecticare $1,020 - $1,515 955%
Consolidated Health Plans $1,020 - $1,515 955%
Other Commercial $1,020 - $1,515 955%
Phcs $1,020 - $1,515 955%
Self Pay $1,020 - $1,515 955%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29 Lewis Avenue, Great Barrington, MA 01230
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals