CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Elizabethtown Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $226
  • Cash Discount Price: $1,624
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Elizabethtown Community Hospital is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,624. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.26x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.
Cash / Self-Pay
$1,624

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: $1,624 (906%)
Insurance Median: $226 (126%)
Cash: $1,624 (906% 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
Capital District Physicians' Health Plan $111 - $2,524 62%
UnitedHealthcare $115 - $2,828 64%
Fidelis Care $139 - $1,167 78%
Mvp $139 - $2,399 78%
Harvard Pilgrim $142 - $2,457 79%
Magnacare $142 - $2,457 79%
Blue Cross Blue Shield $147 - $2,308 82%
Coventry $150 - $2,610 84%
Humana $155 - $169 86%
Multiplan $159 - $2,764 89%
Aetna $164 - $2,303 92%
Martins Point $164 - $1,167 92%
Veterans Affairs Community Care Network $164 - $1,167 92%
Choicecare $180 - $2,457 100%
Highmark Blueshield $210 - $2,503 117%
Wellpath $229 - $1,750 128%
Emblem Health $2,457 1371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 75 Park Street, Elizabethtown, NY 12932
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals