CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Jefferson Abington Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $166
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Jefferson Abington Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.93x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $202 (113%)
Insurance Median: $166 (93%)
Cash: $202 (113% of Medicare)
Ins. Median: $166 (93% 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
Jup Health Partners Chip $48 - $323 27%
Medicare (plans) $50 - $245 28%
Medicaid / KanCare $65 - $323 36%
Jup Pa Health_Wellness $77 - $207 43%
Abington Pro Ibc $79 - $251 44%
Aetna $88 - $543 49%
Jup Geisinger Commercial $91 - $436 51%
Jup Highmark $110 - $215 61%
Keystone First $123 - $196 69%
Pa Health_Wellness Chc $130 73%
Jefferson Health Plan Aca Qhp Exchange $147 82%
Innovage $155 86%
Inspira Life $155 86%
Point Of Comfort Refugee Resettlement $155 86%
Provider Partners Health Plan $155 86%
St Agnes $155 86%
Tricare $155 86%
UnitedHealthcare $155 - $167 86%
Humana $158 88%
Cigna $161 - $352 90%
Devoted Health Participation $163 91%
Keystone First Vip Choice $166 93%
Allwell Pa Health_Wellness Ma $170 95%
Perennial $180 100%
Highmark Wholecare Gateway $181 101%
Jab Health Partners $184 103%
Ibc Employee Benefit $194 108%
Ibc Main Line Health $194 108%
Ibc $216 121%
Ambetter / Centene $225 126%
Naphcare $248 138%
Upmc Commercial $423 236%
Blue Cross Blue Shield $457 255%
Geisinger Health Plan $631 - $634 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals