CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Henry Ford Macomb Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $53
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Henry Ford Macomb Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.30x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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%)
Insurance Median: $53 (30%)
Ins. Median: $53 (30% 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.

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 $34 - $814 19%
Amerihealth Michigan $34 - $171 19%
Mclaren Health Plan Inc. $34 - $53 19%
Meridian $34 - $53 19%
Priority $36 - $53 20%
Molina $37 - $235 21%
Hap $45 - $223 25%
Blue Cross Blue Shield $50 - $232 28%
Humana $50 - $178 28%
Mclaren $50 28%
Meridian Health Plan Of Mi $50 - $235 28%
Pace Se Mi $50 28%
Priority Health $50 - $379 28%
Bcn $53 - $174 30%
Cca Health Mi $53 30%
Health Alliance Plan Of Michigan $53 30%
Mount Carmel Health Plan $53 - $174 30%
United Behavioral Health, Inc. $53 30%
UnitedHealthcare $53 - $1,232 30%
Wellcare Ma $53 30%
Vitalcore Physicians Group Of Mi $68 - $401 38%
Cigna $75 - $1,213 42%
Wellcare $95 53%
Pace Of Se Mi $166 93%
Cca Health Michigan $174 97%
Hap Caresource $174 97%
Mclaren Health $174 - $796 97%
Molina Mi Health Link $174 97%
Cofinity Group Health $555 - $1,118 310%
Multiplan, Inc. $997 556%
University Of Michigan $1,209 675%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals