CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Glens Falls Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $441
Cash Discount Price: $604
vs. Medicare Baseline: 2.46x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Glens Falls Hospital is $441. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $604. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.46x the Medicare baseline. Located in 100 Park Street, Glens Falls, NY.

Cash / Self-Pay

$604

Average discount available for prompt cash payment at this facility.

Insurance Median

$441

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: $604 (337%)

Insurance Median: $441 (246%)

Cash: $604 (337% of Medicare)

Ins. Median: $441 (246% 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 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$56 - $453	31%
Mvp Commercial	$100 - $281	56%
Cdphp	$148 - $993	83%
Blue Shield	$160 - $450	89%
Blue Cross Blue Shield	$196 - $785	109%
Mvp	$441 - $927	246%
Fidelis	$485 - $993	271%
Hamaspik	$785	438%
Nascentia Health Options	$785	438%
Magnacare	$906	506%
Emblem	$966	539%
Empire Plan Nyship	$1,027	573%
Multiplan	$1,027	573%
UnitedHealthcare	$1,027	573%

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 $604.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Glens Falls Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.