CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Montefiore St Luke's Cornwall

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $226
  • Cash Discount Price: $219
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Montefiore St Luke's Cornwall is $226. 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 1.26x 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
$226

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: $226 (126%)
Cash: $219 (122% of Medicare)
Ins. Median: $226 (126% 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
Affinity $146 - $230 81%
Emblem $146 - $2,865 81%
Healthfirst $146 - $803 81%
Medicaid / KanCare $146 81%
Fidelis $175 - $254 98%
Aetna $177 - $217 99%
Geha $198 110%
Meritain Health $198 110%
Nippon Life Insurance $198 110%
Mediblue $212 118%
Blue Cross Blue Shield $219 - $1,278 122%
Cdphp $219 - $2,507 122%
Hudson Valley $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%
Hamaspik $236 132%
Humana $241 134%
American Postal Workers $286 160%
Mvp $569 318%
Northwell $589 329%
Cigna $1,929 - $2,144 1076%
Centivo $2,256 1259%
Seiu1199 $2,686 1499%

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