CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Luke's Miners Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $229
  • Cash Discount Price: $5,704
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Luke's Miners Memorial Hospital is $229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,704. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.28x the Medicare baseline. Located in 360 W Ruddle Street, Coaldale, PA.
Cash / Self-Pay
$5,704

Average discount available for prompt cash payment at this facility.

Insurance Median
$229

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: $5,704 (3183%)
Insurance Median: $229 (128%)
Cash: $5,704 (3183% of Medicare)
Ins. Median: $229 (128% 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.

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
Keystone First $159 89%
Blue Cross Blue Shield $178 - $5,249 99%
Highmark $178 - $492 99%
Aetna $182 - $2,212 102%
Geisinger $182 - $1,782 102%
Highmark Wholecare $183 102%
Humana $185 103%
Upmc Health Plan $187 - $1,737 104%
Amerihealth Caritas $191 107%
UnitedHealthcare $192 - $1,832 107%
Jefferson Health Plan $229 128%
Oscar $1,645 918%
Cigna $1,735 968%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 360 W Ruddle Street, Coaldale, PA 18218
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals