CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Forbes Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $128
Cash Discount Price: $1,812
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Forbes Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,812. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.71x the Medicare baseline. Located in 2570 Haymaker Road, Monroeville, PA.

Cash / Self-Pay

$1,812

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $1,812 (1011%)

Insurance Median: $128 (71%)

Cash: $1,812 (1011% of Medicare)

Ins. Median: $128 (71% 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.

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
Univera	$44 - $179	25%
Amerihealth	$55 - $221	31%
Highmark	$62 - $335	35%
Pennsylvania Health And Wellness	$69 - $201	39%
Geisinger	$76 - $214	42%
UnitedHealthcare	$76 - $541	42%
Cigna	$85 - $399	47%
Aetna	$96 - $488	54%
Highmark Wholecare	$110 - $185	61%
American Health Plans	$171	95%
Life Pittsburgh	$171	95%
Martin'S Point	$171	95%
Medicare (plans)	$176	98%
Humana	$182	102%
Molina	$187	104%
Medical Mutual	$500	279%
University Of Pittsburgh Medical Center	$880 - $1,474	491%

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 $1,812.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Forbes Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.