CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Gettysburg Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $852
Cash Discount Price: $478
vs. Medicare Baseline: 4.75x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Gettysburg Hospital is $852. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.75x the Medicare baseline. Located in 147 Gettys Street, Gettysburg, PA.

Cash / Self-Pay

$478

Average discount available for prompt cash payment at this facility.

Insurance Median

$852

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: $478 (267%)

Insurance Median: $852 (475%)

Cash: $478 (267% of Medicare)

Ins. Median: $852 (475% 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 475% of the Medicare baseline (a markup of 375%). 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
Medicaid / KanCare	$100 - $319	56%
Johns_Hopkins_Healthcare_Plan	$182 - $2,197	102%
Medicare (plans)	$182 - $220	102%
Aetna	$188 - $2,161	105%
Upmc_For_Life_Community_Healthchoices	$220	123%
Highmark	$273 - $1,065	152%
Blue_Cross	$407 - $2,042	227%
Wellspan_Capital_Blue_Cross	$438	244%
United_Healthcare	$1,007	562%
Phc	$1,890	1055%
Upmc	$1,890 - $2,197	1055%
Cigna	$2,031 - $2,125	1133%
First_Health_Network	$2,159 - $2,161	1205%
Geisinger	$2,244	1252%

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 $478.
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 Gettysburg 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.