CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Jacobi Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $463
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.33x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Jacobi Medical Center is $463. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.33x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$463

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%)
Insurance Median: $463 (433%)
Ins. Median: $463 (433% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 433% of the Medicare baseline (a markup of 333%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $35 - $1,042 33%
Aetna $43 - $1,131 40%
Amidacare $44 - $463 41%
Emblem $44 - $1,066 41%
Wellcare $47 - $800 44%
Metroplus $55 - $1,042 51%
Fidelis $63 - $1,042 59%
Oscar $66 - $1,228 62%
Blue Cross Blue Shield $126 - $1,066 118%
Elderplan $126 - $866 118%
Vaccn $126 118%
Vnsny $126 - $1,133 118%
Centers Plan For Healthy Living $131 123%
Oxford $292 - $800 273%
United $292 - $1,066 273%
Carelon $463 - $866 433%
Senior Whole Health $463 433%
United Behavioral Health $463 - $510 433%
Affinity $472 - $1,042 442%
Carelon (Amida Care) $472 442%
Centerlight $666 624%
Magnacare $1,000 936%
Cigna $1,056 989%
Multiplan $1,066 998%
Local 1199 $1,133 1061%
Villagecare Max $1,133 1061%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals