CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Queens Hospital Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $342
Cash Discount Price: $212
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Queens Hospital Center is $342. 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 1.91x 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

$342

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: $342 (191%)

Cash: $212 (118% of Medicare)

Ins. Median: $342 (191% 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.

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 - $1,018	26%
Aetna	$57 - $1,131	32%
Amidacare	$57 - $452	32%
Emblem	$57 - $611	32%
Wellcare	$62 - $184	35%
Metroplus	$74 - $1,018	41%
Fidelis	$82 - $1,018	46%
Oscar	$86 - $1,228	48%
United	$145 - $1,287	81%
Affinity	$150 - $1,018	84%
Blue Cross Blue Shield	$171 - $1,287	95%
Centerlight	$171 - $804	95%
Elderplan	$171 - $1,046	95%
Centers Plan For Healthy Living	$177 - $219	99%
Hamaspik	$179	100%
Vaccn	$211	118%
Vnsny	$211 - $1,367	118%
Local 1199	$360 - $1,367	201%
Carelon	$452 - $1,046	252%
Senior Whole Health	$452	252%
United Behavioral Health	$452 - $498	252%
Carelon (Amida Care)	$461	257%
Oxford	$462 - $965	258%
Cigna	$1,056	589%
Magnacare	$1,207	674%
Multiplan	$1,287	718%
Villagecare Max	$1,367	763%

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: 70460.

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 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.