CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Medstar Good Samaritan Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $111
Cash Discount Price: $109
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Medstar Good Samaritan Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 5601 Loch Raven Boulevard, Baltimore, MD.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $109 (102%)

Insurance Median: $111 (104%)

Cash: $109 (102% of Medicare)

Ins. Median: $111 (104% 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.

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
Aetna	$111	104%
Amerigroup	$111	104%
Amerihealth Caritas District Of Columbia	$111	104%
Carefirst Advantage Inc	$111	104%
Carefirst Blue Choice Inc	$111	104%
Cigna	$111	104%
First Health	$111	104%
Hscsn	$111	104%
Humana	$111	104%
Kaiser Permanente	$111	104%
Magellan Behavioral Health Inc	$111	104%
Mamsi	$111	104%
Medstar Family Choice	$111	104%
Medstar Family Choice Inc	$111	104%
Ncppo Healthlink Ppo	$111	104%
Pfc	$111	104%
Private Healthcare Systems (Phcs)	$111	104%
Tricare	$111	104%
United Behavioral Health Inc	$111	104%
UnitedHealthcare	$111	104%

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 $109.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medstar Good Samaritan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.