CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $91
Cash Discount Price: $1,862
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at The University of Vermont Health Network-Alice Hy is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,862. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.51x the Medicare baseline. Located in 133 Park Street, Po Box 729, Malone, NY.

Cash / Self-Pay

$1,862

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $1,862 (1039%)

Insurance Median: $91 (51%)

Cash: $1,862 (1039% of Medicare)

Ins. Median: $91 (51% 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	$38 - $3,427	21%
UnitedHealthcare	$40 - $3,593	22%
Blue Cross Blue Shield	$42 - $1,167	23%
Fidelis Care	$48 - $1,167	27%
Humana	$48 - $1,167	27%
Mvp	$48 - $1,167	27%
Aetna	$57 - $3,137	32%
Martins Point	$57 - $1,167	32%
Veterans Affairs Community Care Network	$57 - $1,167	32%
Choicecare	$60 - $2,736	33%
Magnacare	$61 - $2,918	34%
Highmark Blueshield	$74 - $3,269	41%
St. Regis	$136 - $1,167	76%

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 $1,862.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The University of Vermont Health Network-Alice Hy is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.