CMS Price Transparency Data
CT scan, head (with contrast)
Facility: St Charles Hospital
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $221
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St Charles Hospital is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.23x the Medicare baseline. Located in 200 Belle Terre Road, Port Jefferson, NY.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$221
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%)
Insurance Median: $221 (123%)
Ins. Median: $221 (123% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Affinity Health Plan | $146 - $330 | 81% |
| Beacon Health Options | $146 - $295 | 81% |
| Beacon Health Strategies | $146 - $295 | 81% |
| Centerlight Healthcare | $146 - $211 | 81% |
| Elderplan Inc. | $146 - $211 | 81% |
| Emblem Health | $146 - $474 | 81% |
| Fidelis Care New York | $146 - $330 | 81% |
| Health First | $146 - $474 | 81% |
| Health Plus | $146 - $330 | 81% |
| Independent Health | $146 - $211 | 81% |
| Medicaid / KanCare | $146 | 81% |
| Mvp Health Plans | $146 - $1,365 | 81% |
| Senior Whole Health | $146 - $211 | 81% |
| UnitedHealthcare | $146 - $402 | 81% |
| Blue Cross Blue Shield | $206 - $390 | 115% |
| Aetna | $211 - $2,331 | 118% |
| Centers Plan For Healthy Living | $211 | 118% |
| Healthspring | $211 | 118% |
| Liberty Health | $211 | 118% |
| Longevity Health Plan | $211 | 118% |
| Medicare (plans) | $211 - $221 | 118% |
| Orthonet - Uniformed Services Family Health Plan | $211 | 118% |
| Pmc | $211 | 118% |
| Tricare | $211 | 118% |
| Universal Healthcare | $211 | 118% |
| Us Family Health Plan | $211 | 118% |
| Veterans Affairs | $211 | 118% |
| Humana | $215 | 120% |
| Agewell New York | $218 | 122% |
| Partners Health Plan | $221 | 123% |
| Wellcare Health Plan Inc | $232 | 129% |
| Zadroga | $286 | 160% |
| Self Pay | $390 | 218% |
| Surest | $402 | 224% |
| American Plan Administrators | $474 | 265% |
| Amerihealth Administrators | $474 | 265% |
| Benefit Services | $474 | 265% |
| Ghi Cbp Ny City Employee Alternate | $474 | 265% |
| International Benefit Administrator | $474 | 265% |
| Ultra Benefits Inc. | $474 | 265% |
| Brighton | $598 - $1,824 | 334% |
| Oscar Health | $1,068 | 596% |
| Local 1199 | $1,156 | 645% |
| Apwu | $1,365 | 762% |
| Centivo | $1,365 - $1,835 | 762% |
| Cigna | $1,365 - $1,693 | 762% |
| Daniel H Cook | $1,365 | 762% |
| Nalc | $1,365 | 762% |
| Samba | $1,365 | 762% |
| Allied Wellfare Fund | $1,693 | 945% |
| American Group Administrators | $1,693 | 945% |
| Bakery & Confectionery Union | $1,693 | 945% |
| Comprehensive Benefits Consultant | $1,693 | 945% |
| Guardian Life Insurance Company Of America | $1,693 | 945% |
| Maloney And Assoc | $1,693 | 945% |
| Multiplan | $1,693 | 945% |
| Performax | $1,693 | 945% |
| Phcs | $1,693 | 945% |
| Pomco | $1,693 | 945% |
| Tpa Inc | $1,693 | 945% |
| Unicare | $1,693 | 945% |
| United Employees Health Plan | $1,693 | 945% |
| Coventry | $1,928 - $2,214 | 1076% |
| Magellan | $2,084 | 1163% |
| Mail Handlers Benefit Plan | $2,331 | 1301% |
| Meritain Health | $2,331 | 1301% |
| Nippon Life Insurance Company Of America | $2,331 | 1301% |
| Salvation Army | $2,331 | 1301% |
| Galaxy | $2,344 | 1308% |
| Three Rivers Provider Network | $2,344 | 1308% |
| Aither Health | $2,605 | 1454% |
| Alpha Care | $2,605 | 1454% |
| Dentaquest | $2,605 | 1454% |