CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cheshire Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $532
Cash Discount Price: $553
vs. Medicare Baseline: 2.97x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cheshire Medical Center is $532. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.97x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$553

Average discount available for prompt cash payment at this facility.

Insurance Median

$532

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: $553 (309%)

Insurance Median: $532 (297%)

Cash: $553 (309% of Medicare)

Ins. Median: $532 (297% 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 297% of the Medicare baseline (a markup of 197%). 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
Aetna	$53 - $1,936	30%
Ambetter / Centene	$56 - $165	31%
Blue Cross Blue Shield	$56 - $2,248	31%
Cigna	$56 - $1,401	31%
Martin'S Point Generations Advantage	$56 - $186	31%
Martin'S Point Health Care	$56 - $186	31%
Mvp	$56 - $1,401	31%
UnitedHealthcare	$56 - $2,148	31%
Wellcare Health Plans	$56 - $186	31%
Wellsense Health Plan	$56 - $390	31%
Amerihealth Caritas Nh	$144 - $346	80%
Mass General Brigham Health Plan	$144 - $2,830	80%
Tufts Health Plan	$157 - $1,806	88%
Granite State Health Plan	$181 - $473	101%
Harvard Pilgrim Health Care Of Ne	$249 - $1,287	139%
Maine Community Health Options	$529 - $1,274	295%
First Health/Hcvm	$999 - $2,406	557%
Phcs	$1,058 - $2,547	590%

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 $553.
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 Cheshire Medical Center 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.