CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Maimonides Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $89
Cash Discount Price: $2,420
vs. Medicare Baseline: 0.50x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Maimonides Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,420. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.50x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.

Cash / Self-Pay

$2,420

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $2,420 (1350%)

Insurance Median: $89 (50%)

Cash: $2,420 (1350% of Medicare)

Ins. Median: $89 (50% 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.

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
United Community Plan	$30 - $241	17%
Blue Cross Blue Shield	$36 - $546	20%
Fidelis	$40 - $56	22%
Healthfirst	$49 - $215	27%
Metroplus	$51 - $263	28%
UnitedHealthcare	$51 - $379	28%
Wellcare	$62	35%
Aetna	$64 - $219	36%
Emblem Health - Ghi	$65 - $666	36%
Local 1199	$80 - $361	45%
Oxford Liberty	$90 - $379	50%
Cigna	$304	170%
Oxford Health Plan	$379	211%

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 $2,420.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Maimonides Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.