CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 70470 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$217

about 1.2× the $179 Medicare rate · typically $186–$258

modeled estimate · not a bill or quote

What this hospital charges insurers

$213

About the fair price

about $4 under the fair price · 1.2× Medicare

Medicare pays $179 Fair price $217 This hospital $213 Cash price $820 Hospital's list price $2,681

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NH hospitals compared.

Cheapest $117 Priciest $637

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (with and without contrast) is about $217 (about 1.2× the $179 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $213, or about $820 in cash — about the fair price. Located in Lebanon, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$58 - $3,196	32%
Blue Cross Blue Shieldmajor	$58 - $4,387	32%
Aetnamajor	$60 - $3,621	33%
Cignamajor	$60 - $2,855	33%
Ambetter (Centene)	$61 - $429	34%
AmeriHealth	$47 - $472	26%
Harvard Pilgrim	$73 - $2,670	41%
MVP Health Care	$58 - $2,789	32%
Tufts Health Plan	$196 - $2,428	109%
WellCare	$61 - $207	34%
WellSense	$52 - $508	29%
+ 7 smaller / regional plans	$45 - $3,954

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 820), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70470.

Insurance Before you use insurance

Call your insurance company to confirm Mary Hitchcock Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mary Hitchcock Memorial Hospital

Compare: CT scan, head (with and without contrast) at other NH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.