CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Roxborough Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $188
Cash Discount Price: $179
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Roxborough Memorial Hospital is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.05x the Medicare baseline. Located in 5800 Ridge Ave, Philadelphia, PA.

Cash / Self-Pay

$179

Average discount available for prompt cash payment at this facility.

Insurance Median

$188

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: $179 (100%)

Insurance Median: $188 (105%)

Cash: $179 (100% of Medicare)

Ins. Median: $188 (105% 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
Health Partners Plan	$100 - $269	56%
Medicaid / KanCare	$100	56%
Keystone	$106 - $186	59%
UnitedHealthcare	$113 - $375	63%
Humana	$143	80%
Blue Cross Blue Shield	$179 - $872	100%
Medicare (plans)	$179 - $188	100%
Pa Health & Wellness	$179 - $215	100%
Tricare	$179	100%
Providers Partner Health Plan	$185	103%
Spartan	$188	105%
Auto Insurance	$197	110%
Worker Compensation	$203	113%
Employer Direct Healthcare	$251	140%
Naphcare	$278	155%
Highmark	$391	218%
Cigna	$424	237%

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 $179.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Roxborough Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.