CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Cheshire Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $284
Cash Discount Price: $1,032
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Cheshire Medical Center is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,032. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.58x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$1,032

Average discount available for prompt cash payment at this facility.

Insurance Median

$284

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: $1,032 (576%)

Insurance Median: $284 (158%)

Cash: $1,032 (576% of Medicare)

Ins. Median: $284 (158% 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
Aetna	$60 - $2,557	33%
Ambetter / Centene	$63 - $165	35%
Blue Cross Blue Shield	$63 - $2,970	35%
Cigna	$63 - $1,851	35%
Martin'S Point Generations Advantage	$63 - $186	35%
Martin'S Point Health Care	$63 - $186	35%
Mvp	$63 - $1,851	35%
UnitedHealthcare	$63 - $2,838	35%
Wellcare Health Plans	$63 - $186	35%
Wellsense Health Plan	$63 - $515	35%
Mass General Brigham Health Plan	$162 - $3,739	90%
Tufts Health Plan	$178 - $2,387	99%
Amerihealth Caritas Nh	$213 - $458	119%
Granite State Health Plan	$213 - $624	119%
Harvard Pilgrim Health Care Of Ne	$249 - $1,700	139%
Maine Community Health Options	$1,683	939%
First Health/Hcvm	$3,178	1773%
Phcs	$3,365	1878%

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 $1,032.
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 Cheshire Medical Center 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.