CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jefferson Lansdale Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $169
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jefferson Lansdale Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.94x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $202 (113%)
Insurance Median: $169 (94%)
Cash: $202 (113% of Medicare)
Ins. Median: $169 (94% 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
Keystone First $98 - $165 55%
Pa Health_Wellness Chc $104 - $174 58%
Medicaid / KanCare $108 - $181 60%
Aetna $138 - $461 77%
Jefferson Health Plan Aca Qhp Exchange $150 84%
St Agnes $155 86%
Innovage $158 88%
Inspira Life $158 88%
Medicare (plans) $158 - $182 88%
Point Of Comfort Refugee Resettlement $158 88%
Provider Partners Health Plan $158 88%
Tricare $158 88%
UnitedHealthcare $158 - $388 88%
Humana $161 90%
Cigna $165 - $354 92%
Jab Health Partners $165 92%
Devoted Health Participation $166 93%
Keystone First Vip Choice $169 94%
Allwell Pa Health_Wellness Ma $174 97%
Perennial $184 103%
Highmark Wholecare Gateway $185 103%
Ibc Employee Benefit $198 110%
Ibc Main Line Health $198 110%
Ambetter / Centene $230 128%
Naphcare $253 141%
Ibc $290 - $3,214 162%
Upmc Commercial $354 198%
Blue Cross Blue Shield $371 207%
Geisinger Health Plan $645 360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Medical Campus Drive, Lansdale, PA 19446
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals