CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St Luke's Hospital - Upper Bucks Campus

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $272
  • Cash Discount Price: $2,664
  • vs. Medicare Baseline: 2.55x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at St Luke's Hospital - Upper Bucks Campus is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,664. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.55x the Medicare baseline. Located in 3000 St. Luke's Drive, Quakertown, PA.
Cash / Self-Pay
$2,664

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $2,664 (2494%)
Insurance Median: $272 (255%)
Cash: $2,664 (2494% of Medicare)
Ins. Median: $272 (255% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 255% of the Medicare baseline (a markup of 155%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $109 - $2,451 102%
Highmark $109 - $376 102%
Aetna $111 - $1,033 104%
Geisinger $111 - $832 104%
Humana $113 106%
Upmc Health Plan $114 - $811 107%
Keystone First $117 110%
UnitedHealthcare $118 - $855 110%
Highmark Wholecare $134 125%
Amerihealth Caritas $140 131%
Jefferson Health Plan $168 157%
Oscar $768 719%
Cigna $810 758%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 St. Luke's Drive, Quakertown, PA 18951
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals