CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $206
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lehigh Valley Hospital - Pocono is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.15x the Medicare baseline. Located in 206 East Brown Street, East Stroudsburg, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$206

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%)
Insurance Median: $206 (115%)
Ins. Median: $206 (115% 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
Amerihealth Caritas $175 98%
Geisinger $175 - $440 98%
UnitedHealthcare $183 - $193 102%
Highmark Blue Shield $189 - $830 105%
Amerihealth $191 107%
Cigna $191 - $556 107%
Aetna $195 - $1,030 109%
Jefferson Health Partners $195 - $371 109%
Devoted Health $197 110%
Humana $197 110%
Upmc $197 - $904 110%
Gateway $199 111%
Emblem $201 - $1,073 112%
Highmark Wholecare/Gateway $202 113%
Pa Health & Wellness (Allwell) $204 114%
Pa Health & Wellness $215 120%
Ambetter / Centene $563 314%
Valley Preferred $1,083 604%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 206 East Brown Street, East Stroudsburg, PA 18301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals