CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Montefiore New Rochelle Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $211
  • Cash Discount Price: $1,394
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Montefiore New Rochelle Hospital is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,394. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.18x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$1,394

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $1,394 (778%)
Insurance Median: $211 (118%)
Cash: $1,394 (778% of Medicare)
Ins. Median: $211 (118% 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.

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 $100 - $211 56%
Molina Healthcare Of Ny Affinity $144 - $324 80%
Amidacare $146 - $221 81%
Emblem $146 - $253 81%
Empire $146 - $4,641 81%
Fidelis $146 - $211 81%
Medicaid / KanCare $146 81%
Metroplus $146 - $274 81%
Mvp $146 - $430 81%
UnitedHealthcare $146 - $402 81%
Wellcare $148 - $215 83%
Hamaspik $154 - $227 86%
Vnsny Choice $168 - $211 94%
Vnsny Select Health $168 94%
Villagecaremax $211 118%
Centerlight $217 121%
Partners_Health_Plan $221 123%
Humana $232 129%
Oscar $333 186%
Aetna $494 - $553 276%
Northwell $567 316%
Centivo $1,351 754%
Cigna $1,893 1056%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals