CMS Price Transparency Data

CT scan, head (with contrast)

Facility: NYU Langone Hospitals

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $555
Cash Discount Price: $932
vs. Medicare Baseline: 3.10x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at NYU Langone Hospitals is $555. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $932. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.10x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$932

Average discount available for prompt cash payment at this facility.

Insurance Median

$555

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: $932 (520%)

Insurance Median: $555 (310%)

Cash: $932 (520% of Medicare)

Ins. Median: $555 (310% 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 310% of the Medicare baseline (a markup of 210%). 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
Fidelis	$103 - $852	57%
Healthplus	$103 - $852	57%
Healthfirst	$118 - $852	66%
Ghi	$211 - $626	118%
Hip	$211 - $3,270	118%
Medicare (plans)	$211	118%
Wellcare	$211	118%
Centerlight	$215	120%
1199	$289	161%
Hamaspik	$316	176%
Cigna	$319	178%
Medicaid / KanCare	$335 - $379	187%
Metroplus	$335 - $852	187%
UnitedHealthcare	$335 - $1,482	187%
Somos	$352 - $511	196%
Amida	$414 - $417	231%
Aetna	$555 - $5,190	310%
Oxford	$1,066 - $1,381	595%
Magnacare	$1,157 - $2,595	646%
Blue Cross Blue Shield	$1,166 - $1,457	651%
Oscar	$1,833	1023%
Multiplan	$3,601 - $4,048	2009%

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 $932.
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 NYU Langone Hospitals 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.