CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $408
Cash Discount Price: $820
vs. Medicare Baseline: 2.28x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mary Hitchcock Memorial Hospital is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $820. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.28x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$820

Average discount available for prompt cash payment at this facility.

Insurance Median

$408

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: $820 (458%)

Insurance Median: $408 (228%)

Cash: $820 (458% of Medicare)

Ins. Median: $408 (228% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 228% of the Medicare baseline (a markup of 128%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Beacon Health Strategies/Carelon	$45 - $508	25%
Amerihealth Caritas Nh	$47 - $472	26%
Granite State Health Plan	$47 - $524	26%
Wellsense Health Plan	$52 - $508	29%
Blue Cross Blue Shield	$58 - $4,387	32%
Martin'S Point Generations Advantage	$58 - $199	32%
Mvp	$58 - $2,789	32%
UnitedHealthcare	$58 - $3,196	32%
Aetna	$60 - $2,922	33%
Cigna	$60 - $2,855	33%
Martin'S Point Health Care	$60 - $1,436	33%
Ambetter / Centene	$61 - $429	34%
Wellcare Health Plans	$61 - $207	34%
Harvard Pilgrim Health Care Of Ne	$73 - $2,670	41%
Mass General Brigham Health Plan	$169 - $2,589	94%
Tufts Health Plan	$196 - $2,428	109%
Maine Community Health Options	$764 - $3,059	426%
Coventry	$1,044 - $3,621	583%
First Health/Hcvm	$1,044 - $3,621	583%
Phcs	$1,080 - $3,746	603%
Corvel	$1,104 - $3,829	616%
Ccmsi	$1,140 - $3,954	636%

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 $820.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mary Hitchcock Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.