CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Chsli St Joseph Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $361
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.01x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Chsli St Joseph Hospital is $361. 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 2.01x the Medicare baseline. Located in 4295 Hempstead Turnpike, Bethpage, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$361

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: $361 (201%)
Ins. Median: $361 (201% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 201% of the Medicare baseline (a markup of 101%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $206 - $469 115%
Aetna $211 - $2,331 118%
Centerlight Healthcare $211 - $219 118%
Centers Plan For Healthy Living $211 118%
Elderplan Inc. $211 - $219 118%
Emblem Health $211 - $474 118%
Fidelis Care New York $211 - $493 118%
Health Plus $211 - $493 118%
Healthspring $211 118%
Independent Health $211 - $219 118%
Liberty Health $211 118%
Longevity Health Plan $211 118%
Medicare (plans) $211 - $221 118%
Mvp Health Plans $211 - $1,365 118%
Orthonet - Uniformed Services Family Health Plan $211 118%
Pmc $211 118%
Senior Whole Health $211 - $219 118%
Tricare $211 118%
UnitedHealthcare $211 - $493 118%
Universal Healthcare $211 118%
Us Family Health Plan $211 118%
Veterans Affairs $211 118%
Health First $213 - $493 119%
Humana $215 120%
Agewell New York $218 122%
Affinity Health Plan $219 - $493 122%
Medicaid / KanCare $219 122%
Partners Health Plan $221 123%
Wellcare Health Plan Inc $232 129%
Zadroga $336 188%
Local 1199 $361 201%
Surest $402 224%
Self Pay $469 262%
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 - $2,882 334%
Apwu $1,365 762%
Centivo $1,365 - $1,835 762%
Cigna $1,365 - $2,676 762%
Daniel H Cook $1,365 762%
Nalc $1,365 762%
Samba $1,365 762%
Oscar Health $1,688 942%
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%
Allied Wellfare Fund $2,676 1493%
American Group Administrators $2,676 1493%
Bakery & Confectionery Union $2,676 1493%
Comprehensive Benefits Consultant $2,676 1493%
Guardian Life Insurance Company Of America $2,676 1493%
Maloney And Assoc $2,676 1493%
Multiplan $2,676 1493%
Performax $2,676 1493%
Phcs $2,676 1493%
Pomco $2,676 1493%
Tpa Inc $2,676 1493%
Unicare $2,676 1493%
United Employees Health Plan $2,676 1493%
Galaxy $3,705 2068%
Three Rivers Provider Network $3,705 2068%
Aither Health $4,117 2297%
Alpha Care $4,117 2297%
Dentaquest $4,117 2297%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4295 Hempstead Turnpike, Bethpage, NY 11714
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals