CMS Price Transparency Data

CT scan, head (no contrast)

Facility: The University of Vermont Health Network - Champl

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $90
Cash Discount Price: $1,621
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at The University of Vermont Health Network - Champl is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,621. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.84x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$1,621

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,621 (1518%)

Insurance Median: $90 (84%)

Cash: $1,621 (1518% of Medicare)

Ins. Median: $90 (84% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
UnitedHealthcare	$27 - $2,387	25%
Blue Cross Blue Shield	$28 - $2,002	26%
Mvp	$32 - $2,490	30%
Aetna	$38 - $2,230	36%
Capital District Physicians' Health Plan	$38 - $2,466	36%
Fidelis Care	$38 - $130	36%
Humana	$38 - $123	36%
Martins Point	$38 - $139	36%
Veterans Affairs Community Care Network	$38 - $130	36%
Highmark Blueshield	$48 - $2,471	45%
Wellpath	$53 - $195	50%
Harvard Pilgrim	$90 - $2,502	84%
Magnacare	$90 - $2,502	84%
St. Regis	$90 - $130	84%
Coventry	$102 - $2,815	95%
Multiplan	$107 - $2,972	100%
Emblem Health	$2,502	2342%

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 $1,621.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The University of Vermont Health Network - Champl is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.