CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Jefferson Abington Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $105
Cash Discount Price: $82
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Jefferson Abington Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $82 (77%)

Insurance Median: $105 (98%)

Cash: $82 (77% of Medicare)

Ins. Median: $105 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Jup Health Partners Chip	$32 - $213	30%
Medicaid / KanCare	$32 - $233	30%
Medicare (plans)	$45 - $185	42%
Jup Pa Health_Wellness	$51 - $152	48%
Abington Pro Ibc	$53 - $152	50%
Aetna	$59 - $328	55%
Jup Geisinger Commercial	$60 - $329	56%
Jup Highmark	$74	69%
Jefferson Health Plan Aca Qhp Exchange	$88	82%
Innovage	$92	86%
Inspira Life	$92	86%
Point Of Comfort Refugee Resettlement	$92	86%
Provider Partners Health Plan	$92	86%
St Agnes	$92	86%
Tricare	$92	86%
UnitedHealthcare	$92 - $100	86%
Humana	$94	88%
Keystone First	$95 - $144	89%
Cigna	$96 - $247	90%
Devoted Health Participation	$97	91%
Keystone First Vip Choice	$99	93%
Pa Health_Wellness Chc	$101 - $152	95%
Allwell Pa Health_Wellness Ma	$102	95%
Jab Health Partners	$106	99%
Perennial	$107	100%
Highmark Wholecare Gateway	$108	101%
Ibc Employee Benefit	$115	108%
Ibc Main Line Health	$115	108%
Ibc	$129	121%
Ambetter / Centene	$134	125%
Naphcare	$148	139%
Upmc Commercial	$247	231%
Blue Cross Blue Shield	$287	269%
Geisinger Health Plan	$376 - $379	352%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $82.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jefferson Abington Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.