CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Albany Medical Center Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $93
  • Cash Discount Price: $152
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Albany Medical Center Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.87x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$152

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $152 (142%)
Insurance Median: $93 (87%)
Cash: $152 (142% of Medicare)
Ins. Median: $93 (87% 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.

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
Cdphp $26 - $974 24%
Blue Cross Blue Shield $28 - $974 26%
Medicare (plans) $28 - $115 26%
Fidelis $30 - $974 28%
Tricare $32 - $101 30%
Medicaid / KanCare $35 - $127 33%
Hamaspik $36 - $1,017 34%
Blue Shield Highmark $37 - $425 35%
Mvp $38 - $433 36%
UnitedHealthcare $38 - $1,534 36%
Aetna $39 - $319 37%
Emblem Health Ghi $42 - $222 39%
Nascentia $42 - $111 39%
Cigna $60 - $191 56%
Blue Shield $70 - $459 66%
Empire Plan Nyship $72 - $1,534 67%
Multiplan $77 - $1,629 72%
Nys Department Of Corrections $94 - $250 88%
Nascentia Health Options $151 141%
Emblem $156 - $257 146%
Mvp Commercial $228 213%
Emblem_Ghi $257 241%
Mvp Essential Plan $931 872%
Magnacare $4,998 4679%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals