CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: 70460 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$223
about 1.2× the $179 Medicare rate · typically $172–$223
modeled estimate · not a bill or quote
What this hospital charges insurers
$198
Below the fair price — a good deal
about $25 under the fair price · 1.1× Medicare
Medicare pays $179 Fair price $223 This hospital $198

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $96 Priciest $198

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (with contrast) is about $223 (about 1.2× the $179 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $198 — below the fair price — a good deal. Located in East Stroudsburg, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $154 - $193 86%
Blue Cross Blue Shieldmajor $170 - $830 95%
Aetnamajor $174 - $1,030 97%
Cignamajor $191 - $465 107%
Humanamajor $197 110%
Ambetter (Centene) $563 314%
AmeriHealth $147 - $191 82%
Devoted Health $197 110%
Geisinger $147 - $440 82%
HealthPartners $181 - $371 101%
UPMC Health Plan $197 - $904 110%
+ 5 smaller / regional plans $181 - $1,083

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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