CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Kaleida Health

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $236
  • Cash Discount Price: $959
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Kaleida Health is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $959. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.32x the Medicare baseline. Located in 100 High Street, Buffalo, NY.
Cash / Self-Pay
$959

Average discount available for prompt cash payment at this facility.

Insurance Median
$236

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: $959 (535%)
Insurance Median: $236 (132%)
Cash: $959 (535% of Medicare)
Ins. Median: $236 (132% 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.

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
Fidelis Care $53 - $56 30%
Molina Healthcare Of New York, Inc. $53 30%
Highmark Wny $57 32%
Independent Health Association $127 - $416 71%
Ghi/Emblem Health $128 - $296 71%
Ghi/Emblem Health - Wchob $128 - $160 71%
Independent Health Association - Wchob $132 - $416 74%
Aetna $134 - $232 75%
Magnacare $134 - $171 75%
Magnacare - Wchob $134 - $171 75%
Blue Cross Blue Shield $149 - $817 83%
Tricare $208 116%
Univera $215 - $711 120%
Wellcare $228 127%
Fidelis $236 132%
UnitedHealthcare $238 133%
Cigna $256 - $311 143%
Univera - Wchob $297 - $711 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 High Street, Buffalo, NY 14210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals