CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jefferson Abington Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $158
  • Cash Discount Price: $188
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jefferson Abington Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.88x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.
Cash / Self-Pay
$188

Average discount available for prompt cash payment at this facility.

Insurance Median
$158

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: $188 (105%)
Insurance Median: $158 (88%)
Cash: $188 (105% of Medicare)
Ins. Median: $158 (88% 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 $43 - $265 24%
Medicaid / KanCare $43 - $267 24%
Medicare (plans) $44 - $242 25%
Abington Pro Ibc $57 - $213 32%
Jup Pa Health_Wellness $68 - $174 38%
Aetna $78 - $461 44%
Jup Geisinger Commercial $80 - $366 45%
Jup Highmark $98 - $279 55%
Keystone First $98 - $165 55%
Pa Health_Wellness Chc $104 - $174 58%
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 - $354 90%
Devoted Health Participation $163 91%
Jab Health Partners $165 92%
Keystone First Vip Choice $166 93%
Allwell Pa Health_Wellness Ma $170 95%
Perennial $180 100%
Highmark Wholecare Gateway $181 101%
Ibc Employee Benefit $194 108%
Ibc Main Line Health $194 108%
Ibc $216 121%
Ambetter / Centene $225 126%
Naphcare $248 138%
Upmc Commercial $354 198%
Blue Cross Blue Shield $371 207%
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