CMS Price Transparency Data

CT scan, head (with contrast)

Facility: UPMC Pinnacle Hospitals

Billing Code: 70460 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$192

about 1.1× the $179 Medicare rate · typically $176–$229

modeled estimate · not a bill or quote

What this hospital charges insurers

$192

About the fair price

1.1× Medicare

Medicare pays $179 Fair price $192 This hospital $192 Cash price $1,295 Hospital's list price $2,158

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $96 Priciest $192

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (with contrast) is about $192 (about 1.1× the $179 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $192, or about $1,295 in cash — about the fair price. Located in Harrisburg, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$105 - $187	59%
Blue Cross Blue Shieldmajor	$173 - $1,367	97%
Aetnamajor	$183 - $1,588	102%
Cignamajor	$184	103%
Humanamajor	$180	100%
AmeriHealth	$170	95%
Geisinger	$195	109%
HealthPartners	$183	102%
UPMC Health Plan	$656 - $990	366%
+ 6 smaller / regional plans	$189 - $1,834

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,295), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70460.

Insurance Before you use insurance

Call your insurance company to confirm UPMC Pinnacle Hospitals is in-network.
Ask your insurer whether prior approval is required for CPT code 70460.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UPMC Pinnacle Hospitals

Compare: CT scan, head (with contrast) at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.