CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Excela Health - Frick Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $197
  • Cash Discount Price: $1,592
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Excela Health - Frick Hospital is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,592. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.10x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$1,592

Average discount available for prompt cash payment at this facility.

Insurance Median
$197

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: $1,592 (888%)
Insurance Median: $197 (110%)
Cash: $1,592 (888% of Medicare)
Ins. Median: $197 (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
Highmark Advantage Community Blue $167 93%
Senior Life $179 100%
Va $179 100%
Aetna $185 - $412 103%
Health Partners Plan $185 103%
Martin'S Point $185 103%
Peak Health $185 - $421 103%
The Health Plan Of West Virginia $185 - $421 103%
Humana $186 104%
United $186 104%
Amerihealth Caritas $188 - $207 105%
Cigna $188 - $396 105%
Devoted $188 105%
Geisinger $188 - $191 105%
Health Partners Plans $191 107%
Pa Health And Wellness $192 - $207 107%
Upmc $194 - $202 108%
Highmark Wholecare $195 - $196 109%
American Health Plan Of Pa $197 110%
Provider Network Of America $197 - $2,122 110%
Provider Plan Partners Plan $197 110%
Upmc Health Plan $208 - $936 116%
Upmc For Kids Chip $213 119%
Highmark Children'S Health Insurance Program $216 121%
Ambetter / Centene $224 125%
Highmark $242 - $395 135%
Velocity $269 150%
Community Blue $356 199%
UnitedHealthcare $457 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals