CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Chester County Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $600
  • Cash Discount Price: $2,608
  • vs. Medicare Baseline: 3.35x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Chester County Hospital is $600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,608. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.35x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$2,608

Average discount available for prompt cash payment at this facility.

Insurance Median
$600

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: $2,608 (1455%)
Insurance Median: $600 (335%)
Cash: $2,608 (1455% of Medicare)
Ins. Median: $600 (335% 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 335% of the Medicare baseline (a markup of 235%). 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 $80 - $223 45%
Medicaid / KanCare $80 - $2,608 45%
Keystone First $102 57%
UnitedHealthcare $114 - $2,096 64%
Health Partners $180 - $2,608 100%
Hospice Vna $180 100%
Medicare (plans) $180 - $184 100%
Primecare Medical $180 100%
Tricare $180 100%
Va Medical Center $180 100%
Cigna $186 - $2,608 104%
Humana $186 104%
Devoted Health $189 105%
Pa Health And Wellness $189 - $297 105%
Aetna $191 - $835 107%
Clover Health Plan $191 107%
Mva Insurance $198 110%
Keystone First Vip Choice $200 112%
Us Family Health Plan $207 116%
Elap $256 143%
Claims Watcher $288 - $324 161%
Oscar Health Plan $306 171%
Centivo $324 181%
Elap Services $335 187%
Highmark $371 207%
Penn Global Medicine $478 267%
Healthamerica/Coventry $494 276%
Geisinger Health Plan $572 319%
Pgm - Regie De L'Assurance Maladie Quebec $600 335%
Todays Option $730 407%
Preferred Health Care Eliance $808 451%
Ibc $813 - $1,348 454%
Keystone Hmo Proactive $813 454%
Pgm - Kuwait Defense $913 - $1,174 509%
Qualcare $991 553%
La Comunidad Hispana $1,043 582%
Pgm - Chop $1,043 582%
Pgm - Royal Embassy Of Saudi Arabia $1,565 873%
Pgm - Embassy Of Qatar $1,695 946%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $1,695 946%
Pgm - Embassy Of The United Emirates/Ipc $1,826 1019%
Pgm - Kuwait Health Division $2,086 1164%
Pgm - Kuwait Oil $2,086 1164%
Preferred Health Care $2,086 1164%
Intergroup $2,217 1237%
Olympus $2,285 1275%
International Pfs $2,608 1455%
Medrisk $2,608 1455%
Not Adjusted $2,608 1455%
Workers Compensation $2,608 1455%

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