CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Kings County Hospital Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $408
  • Cash Discount Price: $210
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Kings County Hospital Center is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.28x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$210

Average discount available for prompt cash payment at this facility.

Insurance Median
$408

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: $210 (117%)
Insurance Median: $408 (228%)
Cash: $210 (117% of Medicare)
Ins. Median: $408 (228% 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 228% of the Medicare baseline (a markup of 128%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $52 - $1,027 29%
Aetna $64 - $1,131 36%
Amidacare $65 - $457 36%
Emblem $65 - $616 36%
Wellcare $71 - $217 40%
Metroplus $83 - $1,027 46%
Fidelis $94 - $1,027 52%
Oscar $98 - $1,228 55%
Affinity $177 - $1,027 99%
Blue Cross Blue Shield $201 - $1,716 112%
Centerlight $201 - $1,073 112%
Elderplan $201 - $1,395 112%
Centers Plan For Healthy Living $209 - $219 117%
Hamaspik $211 118%
Vaccn $211 118%
Vnsny $211 - $1,824 118%
United $217 - $1,716 121%
Local 1199 $441 - $1,824 246%
Carelon $457 - $1,395 255%
Senior Whole Health $457 255%
United Behavioral Health $457 - $502 255%
Carelon (Amida Care) $466 260%
Oxford $511 - $1,287 285%
Cigna $1,056 589%
Magnacare $1,609 898%
Multiplan $1,716 958%
Villagecare Max $1,824 1018%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals