CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Elmhurst Hospital Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $438
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Elmhurst Hospital Center is $438. 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 4.10x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$438

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: $438 (410%)
Ins. Median: $438 (410% 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 410% of the Medicare baseline (a markup of 310%). 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 - $985 33%
Aetna $43 - $1,131 40%
Amidacare $43 - $438 40%
Emblem $43 - $1,066 40%
Wellcare $47 - $800 44%
Metroplus $55 - $985 51%
Fidelis $62 - $985 58%
Oscar $65 - $1,228 61%
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 $438 - $866 410%
Senior Whole Health $438 410%
United Behavioral Health $438 - $482 410%
Affinity $447 - $985 419%
Carelon (Amida Care) $447 419%
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: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals