CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ira Davenport Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,447
Cash Discount Price: $1,592
vs. Medicare Baseline: 8.07x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ira Davenport Memorial Hospital is $1,447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,592. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.07x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$1,592

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,447

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: $1,592 (888%)

Insurance Median: $1,447 (807%)

Cash: $1,592 (888% of Medicare)

Ins. Median: $1,447 (807% 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 807% of the Medicare baseline (a markup of 707%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Empire	$41 - $135	23%
Blue Cross Blue Shield	$188 - $7,981	105%
Fidelis	$188	105%
Humana	$211 - $2,368	118%
Tricare	$211	118%
Amerihealth Caritas Mcr Adv - All Plans	$213	119%
UnitedHealthcare	$1,217 - $2,762	679%
Fidelis Care - Exchange - All Plans	$1,447	807%
Geisinger - All Plans	$1,531	854%
Cigna	$1,639	915%
Mvp Health Plan - All Plans	$1,639	915%
Independent Health - All Plans	$1,710	954%
Upmc - All Plans	$1,815	1013%
Pomco Inc - All Plans	$1,894	1057%
Aetna	$1,973 - $2,348	1101%
Emblem Health - All Plans	$2,315	1292%
Emblem/Ghi	$2,431	1357%
Martins Point - All Plans	$2,631	1468%
Healthnow - All Plans	$8,665	4835%

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 $1,592.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ira Davenport Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.