CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $168
Cash Discount Price: $672
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Chan Soon- Shiong Medical Center at Windber is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $672. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.94x the Medicare baseline. Located in 600 Somerset Avenue, Windber, PA.

Cash / Self-Pay

$672

Average discount available for prompt cash payment at this facility.

Insurance Median

$168

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: $672 (375%)

Insurance Median: $168 (94%)

Cash: $672 (375% of Medicare)

Ins. Median: $168 (94% 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.

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
Amerihealth Caritas	$105 - $168	59%
Geisinger	$107 - $282	60%
United	$112 - $316	63%
Highmark Wholecare	$117	65%
Upmc Health Plan	$117 - $791	65%
Pa Health & Wellness	$120 - $168	67%
Highmark	$129 - $335	72%
Aetna	$160 - $192	89%
Humana	$160 - $168	89%
Cigna	$162 - $475	90%
Senior Life	$162 - $171	90%
Va Ccn	$162 - $171	90%

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 $672.
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 Chan Soon- Shiong Medical Center at Windber 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.