CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Saint Vincent Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $128
Cash Discount Price: $2,116
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Saint Vincent Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,116. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.71x the Medicare baseline. Located in 232 West 25Th Street, Erie, PA.

Cash / Self-Pay

$2,116

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $2,116 (1181%)

Insurance Median: $128 (71%)

Cash: $2,116 (1181% of Medicare)

Ins. Median: $128 (71% 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
Univera	$44 - $179	25%
Amerihealth	$55 - $221	31%
Highmark	$62 - $283	35%
Pennsylvania Health And Wellness	$69 - $201	39%
Geisinger	$76 - $214	42%
UnitedHealthcare	$76 - $5,231	42%
Cigna	$85 - $452	47%
Aetna	$88 - $394	49%
University Of Pittsburgh Medical Center	$92 - $666	51%
Highmark Wholecare	$110 - $205	61%
Jefferson Health Plans	$122 - $205	68%
American Health Plans	$194	108%
Life Pittsburgh	$194	108%
Martin'S Point	$194	108%
Medicare (plans)	$199	111%
Blue Cross Blue Shield	$203 - $305	113%
Humana	$205	114%
Molina	$211	118%
Medical Mutual	$413	230%

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 $2,116.
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 Saint Vincent 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.