CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Helen Newberry Joy Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $125
Cash Discount Price: $80
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Helen Newberry Joy Hospital is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.70x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$125

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: $80 (45%)

Insurance Median: $125 (70%)

Cash: $80 (45% of Medicare)

Ins. Median: $125 (70% 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.

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
Mi Wc - All Plans	$62 - $1,504	35%
Aetna	$87 - $2,233	49%
Uphg Tpa - All Plans	$87 - $2,115	49%
First Health - All Plans	$91 - $2,233	51%
Ppom/Cofinity - All Plans	$91 - $2,233	51%
Cigna	$93 - $2,280	52%
Health Alliance - All Plans	$93 - $2,280	52%
Healtheos - All Plans	$93 - $2,280	52%
Priority Health - All Plans	$93 - $2,280	52%
UnitedHealthcare	$93 - $2,280	52%
Vital Core - All Plans	$93 - $2,280	52%
Blue Cross Blue Shield	$95 - $2,321	53%
Uphp Mcaid - All Plans	$229 - $1,105	128%
Va - All Plans	$253 - $964	141%
Humana	$321 - $940	179%
Mi Health Link - All Plans	$321 - $940	179%

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 $80.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Helen Newberry Joy Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.