CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St Lukes Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $169
Cash Discount Price: $2,616
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at St Lukes Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,616. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.58x the Medicare baseline. Located in 801 Ostrum Street, Bethlehem, PA.

Cash / Self-Pay

$2,616

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

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,616 (2449%)

Insurance Median: $169 (158%)

Cash: $2,616 (2449% of Medicare)

Ins. Median: $169 (158% 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.

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
Blue Cross Blue Shield	$109 - $1,222	102%
Highmark	$109 - $353	102%
Aetna	$111 - $1,100	104%
Geisinger	$111 - $886	104%
Humana	$113	106%
Upmc Health Plan	$114 - $864	107%
Keystone First	$117	110%
UnitedHealthcare	$118 - $911	110%
Highmark Wholecare	$134	125%
Amerihealth Caritas	$140	131%
Jefferson Health Plan	$168	157%
Oscar	$818	766%
Cigna	$863	808%

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 $2,616.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Lukes Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.