CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Metropolitan Hospital Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $436
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.43x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Metropolitan Hospital Center is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.43x the Medicare baseline. Located in 1901 First Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$436

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%)

Insurance Median: $436 (243%)

Ins. Median: $436 (243% 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 243% of the Medicare baseline (a markup of 143%). 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
Healthfirst	$46 - $981	26%
Aetna	$57 - $1,131	32%
Amidacare	$58 - $436	32%
Emblem	$58 - $624	32%
Wellcare	$63 - $468	35%
Metroplus	$74 - $981	41%
Fidelis	$83 - $981	46%
Oscar	$87 - $1,228	49%
Blue Cross Blue Shield	$211 - $981	118%
Elderplan	$211 - $507	118%
Vaccn	$211	118%
Vnsny	$211 - $663	118%
Centers Plan For Healthy Living	$219	122%
Centerlight	$390	218%
Oxford	$390 - $468	218%
Carelon	$436 - $507	243%
Senior Whole Health	$436	243%
United	$436 - $624	243%
United Behavioral Health	$436 - $480	243%
Affinity	$445 - $981	248%
Carelon (Amida Care)	$445	248%
Magnacare	$585	326%
Multiplan	$624	348%
Local 1199	$663	370%
Villagecare Max	$663	370%
Cigna	$1,056	589%

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 $X.
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 Metropolitan Hospital Center 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.