CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St John's Episcopal Hospital at South Shore

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $219
  • Cash Discount Price: $2,783
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St John's Episcopal Hospital at South Shore is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,783. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.22x the Medicare baseline. Located in 327 Beach 19Th Street, Far Rockaway, NY.
Cash / Self-Pay
$2,783

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

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: $2,783 (1553%)
Insurance Median: $219 (122%)
Cash: $2,783 (1553% of Medicare)
Ins. Median: $219 (122% 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
Healthfirst $182 - $493 102%
Vns $208 - $219 116%
Aetna $219 - $650 122%
Blue Cross Blue Shield $219 - $329 122%
Centerlight $219 122%
Centers Plan For Healthy Living $219 122%
Elderplan $219 122%
Emblem Health $219 122%
Fidelis $219 122%
Hamaspik $219 122%
Humana $219 122%
Longevity $219 122%
Lucida $219 122%
Metroplus $219 122%
UnitedHealthcare $219 - $739 122%
Village Care Max $219 122%
Wellcare $219 122%
Magnacare $241 134%
Molina $241 134%
1199 National Benefit Fund $361 201%
Cigna $704 393%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 327 Beach 19Th Street, Far Rockaway, NY 11691
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals