CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Bertrand Chaffee Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $135
Cash Discount Price: $445
vs. Medicare Baseline: 0.75x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Bertrand Chaffee Hospital is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $445. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.75x the Medicare baseline. Located in 224 East Main Street, Springville, NY.

Cash / Self-Pay

$445

Average discount available for prompt cash payment at this facility.

Insurance Median

$135

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: $445 (248%)

Insurance Median: $135 (75%)

Cash: $445 (248% of Medicare)

Ins. Median: $135 (75% 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
Private Pay	$68 - $821	38%
Aetna	$80 - $966	45%
American Progressive Ins.	$80 - $966	45%
Cigna	$80 - $966	45%
Commercial / Misc	$80 - $966	45%
Global Excel Mgt	$80 - $966	45%
Guardian Life Ins. Co.	$80 - $966	45%
Mvp Commercial	$80 - $966	45%
No Amer Meritian Health	$80 - $966	45%
No-Fault	$80 - $966	45%
Blue Cross Blue Shield	$128 - $138	71%
Senior Blue - Bc	$128	71%
Comm Blue Essential	$132	74%
Community Blue	$132	74%
Community Care - Bc	$132	74%
Fidelis Care Of New York	$132	74%
Ghi Medical	$132	74%
Gowanda Correctional Fac	$132	74%
Medicaid / KanCare	$132	74%
Molina Essential Plan	$132	74%
Molina Heathcare Of Wny	$132	74%
Seneca Nation Health Dept	$132	74%
United Hc - Community Pln	$132	74%
United Hc Essential Plan	$132	74%
Univera Hc Myhealth	$132	74%
Univera Hc Myhealth+	$132 - $149	74%
Yourcare	$132	74%
Iha Essential Plans	$138 - $215	77%
Iha Medisource	$138 - $215	77%
Univera Essential Plans	$149	83%
Univera Hc Child Health+	$149	83%
Univera Plus Med	$149	83%
Univera Senior Choice	$176	98%
Univera Healthcare	$211	118%
Iha	$222	124%
Iha Custom Coverage	$222	124%
Iha Encompass 65	$298	166%
Fidelis Essential Plans	$493	275%

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 $445.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bertrand Chaffee Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.