CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Maimonides Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $42
  • Cash Discount Price: $310
  • vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Maimonides Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $310. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.39x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$310

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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%)
Cash / Self-Pay: $310 (290%)
Insurance Median: $42 (39%)
Cash: $310 (290% of Medicare)
Ins. Median: $42 (39% 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.

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 $14 - $128 13%
Blue Cross Blue Shield $17 - $313 16%
Emblem Health - Ghi $18 - $397 17%
Metroplus $18 - $157 17%
United Community Plan $19 - $144 18%
UnitedHealthcare $19 - $172 18%
Emblem Health - Hip $20 - $165 19%
Fidelis $21 - $65 20%
Cigna $26 - $174 24%
Molina $26 - $158 24%
Oxford Health Plan $28 - $172 26%
Villagecare Maxx Fida $32 - $85 30%
Centers Plan For Healthy Living $33 - $67 31%
Elderplan $33 - $111 31%
Healthfirst Early Start $33 - $36 31%
Wellcare $33 - $64 31%
Aetna $34 - $130 32%
Visiting Nurse Svc Of Ny $35 - $43 33%
Emblem Health - Hip Vip $41 - $44 38%
Hamaspik $42 - $70 39%
Local 1199 $43 - $241 40%
Magnacare $49 - $56 46%
Mvp Health $51 48%
Oxford Liberty $58 - $172 54%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals