CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Montefiore St Luke's Cornwall

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $236
  • Cash Discount Price: $219
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Montefiore St Luke's Cornwall is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.32x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
$219

Average discount available for prompt cash payment at this facility.

Insurance Median
$236

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: $219 (122%)
Insurance Median: $236 (132%)
Cash: $219 (122% of Medicare)
Ins. Median: $236 (132% 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.

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 $175 - $254 98%
Aetna $211 - $236 118%
Mediblue $212 118%
Affinity $219 - $230 122%
Blue Cross Blue Shield $219 - $1,538 122%
Cdphp $219 - $2,883 122%
Emblem $219 - $3,294 122%
Healthfirst $219 - $803 122%
Hudson Valley $219 122%
Medicaid / KanCare $219 122%
Oscar $219 - $346 122%
Point Comfort $219 122%
UnitedHealthcare $219 - $286 122%
Villagecaremax $219 122%
Vnsny Choice $219 122%
Centerlight $226 126%
Wellcare $226 126%
Geha $236 132%
Hamaspik $236 132%
Meritain Health $236 132%
Nippon Life Insurance $236 132%
Humana $241 134%
American Postal Workers $286 160%
Mvp $569 318%
Northwell $589 329%
Cigna $2,378 - $2,642 1327%
Centivo $2,594 1448%
Seiu1199 $3,088 1723%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals