CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Wellspan Good Samaritan Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $419
Cash Discount Price: $569
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Wellspan Good Samaritan Hospital is $419. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $569. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.34x the Medicare baseline. Located in 252 South 4Th Street, Lebanon, PA.

Cash / Self-Pay

$569

Average discount available for prompt cash payment at this facility.

Insurance Median

$419

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: $569 (318%)

Insurance Median: $419 (234%)

Cash: $569 (318% of Medicare)

Ins. Median: $419 (234% 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 234% of the Medicare baseline (a markup of 134%). 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
Medicare (plans)	$176 - $190	98%
Aetna	$181 - $957	101%
Medicaid / KanCare	$199 - $308	111%
Blue_Cross	$258 - $1,693	144%
Highmark	$273 - $641	152%
Wellspan_Capital_Blue_Cross	$530	296%
United_Healthcare	$1,007	562%
First_Health_Network	$1,052	587%
Cigna	$1,376	768%
Geisinger	$1,587	886%
Upmc	$1,587	886%
Phc	$2,116	1181%

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 $569.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Wellspan Good Samaritan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.