CMS Price Transparency Data

CT scan, head (with contrast)

Facility: UPMC Williamsport

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,885
Cash Discount Price: $2,371
vs. Medicare Baseline: 10.52x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at UPMC Williamsport is $1,885. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,371. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.52x the Medicare baseline. Located in 700 High Street, Williamsport, PA.

Cash / Self-Pay

$2,371

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,885

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: $2,371 (1323%)

Insurance Median: $1,885 (1052%)

Cash: $2,371 (1323% of Medicare)

Ins. Median: $1,885 (1052% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1052% of the Medicare baseline (a markup of 952%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$102 - $2,703	57%
Geisinger	$147 - $2,648	82%
Upmc Health Plan	$147 - $1,723	82%
Amerihealth Caritas	$151 - $175	84%
Blue Cross Blue Shield	$171 - $1,852	95%
Aetna	$175 - $2,608	98%
Highmark Wholecare (Prev Gateway)	$183 - $188	102%
Pa Health & Wellness	$183 - $228	102%
Upmc Work Partners	$675	377%
Three Rivers Provider Network	$722 - $3,557	403%
Multiplan	$746 - $3,083	416%
Coventry/First Health	$1,980 - $2,660	1105%
Wirerope Works	$2,197	1226%
Cigna	$2,707	1511%
America'S Choice	$3,162	1765%
Intergroup	$3,162	1765%

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 $2,371.
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 UPMC Williamsport 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.