CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $221
  • Cash Discount Price: $1,419
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Montefiore Mount Vernon Hospital is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,419. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.23x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.
Cash / Self-Pay
$1,419

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

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: $1,419 (792%)
Insurance Median: $221 (123%)
Cash: $1,419 (792% of Medicare)
Ins. Median: $221 (123% 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
Healthfirst $181 - $351 101%
Metroplus $197 - $285 110%
Blue Cross Blue Shield $219 122%
Emblem $219 - $1,746 122%
Fidelis $219 - $384 122%
Medicaid / KanCare $219 122%
Point Comfort $219 122%
UnitedHealthcare $219 - $402 122%
Villagecaremax $219 122%
Vnsny Choice $219 - $252 122%
Wellcare $221 - $224 123%
Centerlight $226 - $241 126%
Elderplan $226 126%
Partners Health Plan $230 128%
Longevity $239 133%
Humana $241 134%
Vnsny Select Health $252 141%
Molina Healthcare Of Ny Affinity $302 169%
Oscar $346 193%
American Postal Workers $402 224%
Mvp $447 249%
Aetna $557 - $624 311%
Northwell $589 329%
Centivo $1,375 767%
Cigna $2,378 - $2,642 1327%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals