CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jones Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $235
Cash Discount Price: $339
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jones Memorial Hospital is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.31x the Medicare baseline. Located in 191 North Main Street, Wellsville, NY.

Cash / Self-Pay

$339

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

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: $339 (189%)

Insurance Median: $235 (131%)

Cash: $339 (189% of Medicare)

Ins. Median: $235 (131% 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.

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
Blue Cross Blue Shield	$88 - $457	49%
Fidelis 5155	$88 - $146	49%
Medicaid / KanCare	$88 - $330	49%
UnitedHealthcare	$88 - $234	49%
Univera Healthcare 1706	$88 - $146	49%
Molina Healthcare 1723	$161 - $330	90%
UPMC Health Plan 5138	$176	98%
Humana	$234	131%
Medicare (plans)	$234 - $365	131%
Total Senior Care 1319	$234	131%
Aetna	$249 - $516	139%
Independent Health 5156	$365	204%
Mvp 2900	$387 - $645	216%
Empire Plan 5179	$415	232%
Cigna	$573	320%

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 $339.
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 Jones Memorial Hospital 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.