CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $198
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lehigh Valley Hospital - Pocono is $198. 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 1.10x 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
$198

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: $198 (110%)
Ins. Median: $198 (110% 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 $147 82%
Geisinger $147 - $440 82%
UnitedHealthcare $154 - $193 86%
Highmark Wholecare/Gateway $170 95%
Aetna $174 - $1,030 97%
Jefferson Health Partners $181 - $371 101%
Pa Health & Wellness $181 101%
Highmark Blue Shield $189 - $830 105%
Amerihealth $191 107%
Cigna $191 - $465 107%
Devoted Health $197 110%
Humana $197 110%
Upmc $197 - $904 110%
Gateway $199 111%
Emblem $201 - $1,073 112%
Pa Health & Wellness (Allwell) $204 114%
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