CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Elizabethtown Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $191
Cash Discount Price: $1,267
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Elizabethtown Community Hospital is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,267. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.07x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$1,267

Average discount available for prompt cash payment at this facility.

Insurance Median

$191

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: $1,267 (707%)

Insurance Median: $191 (107%)

Cash: $1,267 (707% of Medicare)

Ins. Median: $191 (107% 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.

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
Capital District Physicians' Health Plan	$95 - $1,953	53%
UnitedHealthcare	$98 - $2,188	55%
Fidelis Care	$119 - $903	66%
Mvp	$119 - $1,856	66%
Blue Cross Blue Shield	$126 - $1,786	70%
Harvard Pilgrim	$126 - $1,901	70%
Magnacare	$126 - $1,901	70%
Humana	$133 - $169	74%
Coventry	$134 - $2,020	75%
Aetna	$140 - $1,782	78%
Martins Point	$140 - $903	78%
Veterans Affairs Community Care Network	$140 - $903	78%
Multiplan	$142 - $2,138	79%
Choicecare	$154 - $1,901	86%
Highmark Blueshield	$179 - $1,936	100%
Wellpath	$196 - $1,354	109%
Emblem Health	$1,901	1061%

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 $1,267.
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 Elizabethtown Community 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.