CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Clair Hospital

Billing Code: 70470 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$188
about 1.1× the $179 Medicare rate · typically $156–$249
modeled estimate · not a bill or quote
What this hospital charges insurers
$209
About the fair price
about $21 over the fair price · 1.2× Medicare
Medicare pays $179 Fair price $188 This hospital $209 Cash price $367 Hospital's list price $1,480

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 $114 Priciest $209

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 and without contrast) is about $188 (about 1.1× the $179 Medicare rate). St Clair Hospital charges insurers about $209, or about $367 in cash — about the fair price. Located in Pittsburgh, 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 $167 - $561 93%
Blue Cross Blue Shieldmajor $152 - $382 85%
Aetnamajor $176 - $458 98%
Cignamajor $178 - $206 99%
Humanamajor $171 95%
AmeriHealth $171 - $183 95%
Geisinger $176 - $183 98%
HealthPartners $179 - $183 100%
UPMC Health Plan $171 - $781 95%
+ 3 smaller / regional plans $178 - $410

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Facility Profile & Credentials

  • Address: 1000 Bower Hill Road, Pittsburgh, PA 15243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals