CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $340
Cash Discount Price: $739
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mary Hitchcock Memorial Hospital is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $739. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.90x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$739

Average discount available for prompt cash payment at this facility.

Insurance Median

$340

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: $739 (412%)

Insurance Median: $340 (190%)

Cash: $739 (412% of Medicare)

Ins. Median: $340 (190% 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
Beacon Health Strategies/Carelon	$34 - $446	19%
Amerihealth Caritas Nh	$35 - $414	20%
Granite State Health Plan	$35 - $460	20%
Wellsense Health Plan	$44 - $446	25%
Blue Cross Blue Shield	$52 - $3,849	29%
Martin'S Point Generations Advantage	$52 - $199	29%
Mvp	$52 - $2,447	29%
UnitedHealthcare	$52 - $2,805	29%
Aetna	$53 - $2,564	30%
Cigna	$53 - $2,505	30%
Martin'S Point Health Care	$53 - $1,260	30%
Ambetter / Centene	$54 - $429	30%
Wellcare Health Plans	$54 - $207	30%
Harvard Pilgrim Health Care Of Ne	$65 - $2,343	36%
Mass General Brigham Health Plan	$150 - $2,272	84%
Tufts Health Plan	$174 - $2,131	97%
Maine Community Health Options	$748 - $2,684	417%
Coventry	$1,022 - $3,177	570%
First Health/Hcvm	$1,022 - $3,177	570%
Phcs	$1,058 - $3,287	590%
Corvel	$1,081 - $3,360	603%
Ccmsi	$1,116 - $3,469	623%

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 $739.
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 Mary Hitchcock Memorial 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.