CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Chester County Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $501
  • Cash Discount Price: $2,177
  • vs. Medicare Baseline: 4.69x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Chester County Hospital is $501. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,177. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.69x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$2,177

Average discount available for prompt cash payment at this facility.

Insurance Median
$501

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: $2,177 (2038%)
Insurance Median: $501 (469%)
Cash: $2,177 (2038% of Medicare)
Ins. Median: $501 (469% 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 469% of the Medicare baseline (a markup of 369%). 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
Gateway $78 - $133 73%
Medicaid / KanCare $78 - $2,177 73%
Keystone First $99 93%
Hospice Vna $107 100%
Medicare (plans) $107 - $110 100%
Primecare Medical $107 100%
Tricare $107 100%
Va Medical Center $107 100%
UnitedHealthcare $108 - $2,096 101%
Cigna $111 - $2,177 104%
Health Partners $111 - $2,177 104%
Humana $111 104%
Devoted Health $113 106%
Pa Health And Wellness $113 - $177 106%
Aetna $114 - $697 107%
Clover Health Plan $114 107%
Mva Insurance $118 110%
Keystone First Vip Choice $119 111%
Us Family Health Plan $124 116%
Elap $153 143%
Claims Watcher $172 - $193 161%
Oscar Health Plan $183 171%
Centivo $193 181%
Elap Services $200 187%
Highmark $221 207%
Penn Global Medicine $285 267%
Geisinger Health Plan $341 319%
Healthamerica/Coventry $385 360%
Pgm - Regie De L'Assurance Maladie Quebec $501 469%
Todays Option $610 571%
Ibc $675 - $1,120 632%
Keystone Hmo Proactive $675 632%
Preferred Health Care Eliance $675 632%
Pgm - Kuwait Defense $762 - $980 713%
Qualcare $827 774%
La Comunidad Hispana $871 815%
Pgm - Chop $871 815%
Pgm - Royal Embassy Of Saudi Arabia $1,306 1223%
Pgm - Embassy Of Qatar $1,415 1325%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $1,415 1325%
Pgm - Embassy Of The United Emirates/Ipc $1,524 1427%
Pgm - Kuwait Health Division $1,742 1631%
Pgm - Kuwait Oil $1,742 1631%
Preferred Health Care $1,742 1631%
Intergroup $1,850 1732%
Olympus $1,907 1785%
International Pfs $2,177 2038%
Medrisk $2,177 2038%
Not Adjusted $2,177 2038%
Workers Compensation $2,177 2038%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals