CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $910
  • Cash Discount Price: $3,957
  • vs. Medicare Baseline: 8.52x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Hospital of Univ of Pennsylvania is $910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,957. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.52x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$3,957

Average discount available for prompt cash payment at this facility.

Insurance Median
$910

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: $3,957 (3705%)
Insurance Median: $910 (852%)
Cash: $3,957 (3705% of Medicare)
Ins. Median: $910 (852% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 852% of the Medicare baseline (a markup of 752%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Gspp And Wissahickon Hospice $55 51%
Medicaid / KanCare $78 - $3,957 73%
Kaiser Permanente $81 - $3,957 76%
UnitedHealthcare $97 - $3,957 91%
Keystone Mercy Health Plan $99 - $3,957 93%
Blue Cross Blue Shield $110 - $3,058 103%
Medicare (plans) $110 - $112 103%
Philadelphia Va Medical Center $110 103%
Tricare $110 103%
Upmc $110 - $3,957 103%
Ibc $112 105%
Cigna $113 - $1,781 106%
Geisinger Health Plan $113 - $349 106%
Health Partners $113 - $3,957 106%
Humana $113 - $3,166 106%
Devoted Health $115 108%
Pa Health And Wellness $115 - $181 108%
Penn Life (Living Independently For Elders) $115 108%
Aetna $116 - $3,957 109%
Pa Medical Assistance $117 - $3,957 110%
Clover Health Plan $119 111%
Paired Kidney Exchange $119 111%
Keystone First $122 114%
Us Family Health Plan $126 118%
Gateway Health Plan $136 127%
Elap $156 146%
Claims Watcher $176 - $198 165%
Oscar Health Plan $187 175%
Centivo $198 185%
Elap Services $204 191%
Highmark $231 216%
Keystone Hmo Proactive $243 228%
Ibc Commercial Hpn $251 235%
Penn Global Medicine $291 272%
Horizon Nj Health $669 - $696 626%
Preferred Health Care Eliance $871 815%
Pgm - Regie De L'Assurance Maladie Quebec $910 852%
Pgm - Kuwait Defense $1,385 - $1,781 1297%
Qualcare $1,504 1408%
Olympus $1,555 1456%
Coventry $1,583 - $2,018 1482%
Pgm - Chop $1,583 1482%
Wissahickon Hospice $1,583 1482%
Healthamerica/Coventry $1,781 - $1,939 1667%
First Health Global $1,978 1852%
Health Net $2,374 2223%
Pgm - Royal Embassy Of Saudi Arabia $2,374 2223%
Pgm - Embassy Of Qatar $2,572 2408%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $2,572 2408%
Interlink $2,651 2482%
Pgm - Embassy Of The United Emirates/Ipc $2,770 2593%
Health America/Ccn $3,166 2964%
Intergroup $3,166 2964%
Pgm - Kuwait Health Division $3,166 2964%
Pgm - Kuwait Oil $3,166 2964%
Preferred Care $3,166 2964%
Blue Quality Centers For Transplant (Bqct) $3,957 3705%
City Of Philadelphia Behavioral Health $3,957 3705%
Commercial Other $3,957 3705%
International Pfs $3,957 3705%
United Behavioral Health $3,957 3705%
Workers Compensation $3,957 3705%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals