CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Albany Medical Center Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $79
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 0.44x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Albany Medical Center Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.44x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $94 (52%)
Insurance Median: $79 (44%)
Cash: $94 (52% of Medicare)
Ins. Median: $79 (44% 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
Cdphp $34 - $974 19%
Blue Cross Blue Shield $38 - $974 21%
Medicare (plans) $38 - $55 21%
Fidelis $40 - $974 22%
Tricare $43 - $50 24%
Hamaspik $47 - $1,017 26%
Medicaid / KanCare $47 26%
Blue Shield Highmark $49 - $113 27%
UnitedHealthcare $50 - $1,973 28%
Mvp $51 - $433 28%
Aetna $52 - $445 29%
Nascentia $55 31%
Emblem Health Ghi $56 - $111 31%
Cigna $79 - $96 44%
Empire Plan Nyship $95 - $1,973 53%
Multiplan $101 - $2,096 56%
Blue Shield $103 - $459 57%
Nys Department Of Corrections $126 70%
Nascentia Health Options $211 118%
Emblem $217 - $358 121%
Mvp Commercial $327 182%
Emblem_Ghi $358 200%
Mvp Essential Plan $931 520%
Magnacare $4,998 2789%

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