CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Frisbie Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $667
Cash Discount Price: $5,413
vs. Medicare Baseline: 6.24x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Frisbie Memorial Hospital is $667. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,413. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.24x the Medicare baseline. Located in 11 Whitehall Road, Rochester, NH.

Cash / Self-Pay

$5,413

Average discount available for prompt cash payment at this facility.

Insurance Median

$667

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $5,413 (5068%)

Insurance Median: $667 (624%)

Cash: $5,413 (5068% of Medicare)

Ins. Median: $667 (624% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 624% of the Medicare baseline (a markup of 524%). 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
Blue Cross Blue Shield	$206 - $667	193%
Amerihealth Caritas	$446	418%
Well Sense Health Plan	$661	619%
Harvard Pilgrim	$1,437 - $2,193	1345%
Maine Community Health	$1,544 - $2,617	1446%
Tufts Health Plan	$1,857 - $3,096	1739%
United	$1,857 - $3,264	1739%
Aetna	$3,129	2930%
Evernorth	$4,330	4054%

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 $5,413.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Frisbie Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.