CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $574
  • Cash Discount Price: $1,717
  • vs. Medicare Baseline: 3.20x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Memorial Hospital for Cancer and Allied Diseases is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,717. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.20x the Medicare baseline. Located in 1275 York Ave, New York, NY.
Cash / Self-Pay
$1,717

Average discount available for prompt cash payment at this facility.

Insurance Median
$574

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: $1,717 (958%)
Insurance Median: $574 (320%)
Cash: $1,717 (958% of Medicare)
Ins. Median: $574 (320% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 320% of the Medicare baseline (a markup of 220%). 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
Aetna $64 - $1,685 36%
Fidelis $64 - $1,140 36%
Healthfirst $64 - $1,841 36%
Metroplus $64 - $1,994 36%
Emblem $201 - $2,126 112%
Oxford $229 - $1,863 128%
Empire $240 - $939 134%
Magnacare $263 - $2,454 147%
UnitedHealthcare $285 - $1,985 159%
Urn $285 - $2,178 159%
Cigna $288 - $886 161%
6 Degrees Health $292 - $2,393 163%
Multiplan $328 - $2,761 183%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1275 York Ave, New York, NY 10065
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL