CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Queens Hospital Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $411
Cash Discount Price: $212
vs. Medicare Baseline: 2.29x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Queens Hospital Center is $411. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.29x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.

Cash / Self-Pay

$212

Average discount available for prompt cash payment at this facility.

Insurance Median

$411

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: $212 (118%)

Insurance Median: $411 (229%)

Cash: $212 (118% of Medicare)

Ins. Median: $411 (229% 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 229% of the Medicare baseline (a markup of 129%). 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	$52 - $1,018	29%
Aetna	$64 - $1,131	36%
Amidacare	$64 - $452	36%
Emblem	$64 - $611	36%
Wellcare	$70 - $215	39%
Metroplus	$83 - $1,018	46%
Fidelis	$93 - $1,018	52%
Oscar	$97 - $1,228	54%
Affinity	$176 - $1,018	98%
Blue Cross Blue Shield	$199 - $1,716	111%
Centerlight	$199 - $1,073	111%
Elderplan	$199 - $1,395	111%
Centers Plan For Healthy Living	$207 - $219	116%
Hamaspik	$209	117%
Vaccn	$211	118%
Vnsny	$211 - $1,824	118%
United	$217 - $1,716	121%
Local 1199	$441 - $1,824	246%
Carelon	$452 - $1,395	252%
Senior Whole Health	$452	252%
United Behavioral Health	$452 - $498	252%
Carelon (Amida Care)	$461	257%
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

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $212.
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 Queens Hospital 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.