CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Kings County Hospital Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $378
  • Cash Discount Price: $210
  • vs. Medicare Baseline: 2.11x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Kings County Hospital Center is $378. 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 2.11x 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
$378

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: $378 (211%)
Cash: $210 (117% of Medicare)
Ins. Median: $378 (211% 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 211% of the Medicare baseline (a markup of 111%). 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 $46 - $1,027 26%
Aetna $57 - $1,131 32%
Amidacare $58 - $457 32%
Emblem $58 - $1,287 32%
Wellcare $63 - $965 35%
Metroplus $74 - $1,027 41%
Fidelis $83 - $1,027 46%
Oscar $87 - $1,228 49%
Affinity $151 - $1,027 84%
Blue Cross Blue Shield $172 - $1,287 96%
Centerlight $172 - $804 96%
Elderplan $172 - $1,046 96%
Centers Plan For Healthy Living $179 - $219 100%
Hamaspik $181 101%
Vaccn $211 118%
Vnsny $211 - $1,367 118%
Local 1199 $360 - $1,367 201%
Carelon $457 - $1,046 255%
Senior Whole Health $457 255%
United $457 - $1,287 255%
United Behavioral Health $457 - $502 255%
Oxford $462 - $965 258%
Carelon (Amida Care) $466 260%
Cigna $1,056 589%
Magnacare $1,207 674%
Multiplan $1,287 718%
Villagecare Max $1,367 763%

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