CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Physicians Care Surgical Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $365
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 3.42x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Physicians Care Surgical Hospital is $365. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.42x the Medicare baseline. Located in 454 Enterprise Drive, Royersford, PA.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$365

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: $271 (254%)
Insurance Median: $365 (342%)
Cash: $271 (254% of Medicare)
Ins. Median: $365 (342% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 342% of the Medicare baseline (a markup of 242%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Connecticare $124 116%
Blue Cross Blue Shield $194 - $365 182%
Highmark $194 182%
Aarp $338 316%
Aetna $338 - $714 316%
Cigna $338 316%
Devon Health Services $338 316%
Gpm Health And Life Insurance Mc Supplement $338 316%
Humana $338 316%
Ibc Security 65 $338 316%
Keystone 65 Hmo $338 316%
Medicare (plans) $338 316%
Pcsh Aarp $338 316%
Personal Choice 65 $338 316%
Shenandoah Life $338 316%
Tricare $338 316%
Unified Health Services $338 316%
UnitedHealthcare $338 - $718 316%
Vibra Health Plan $338 316%
Amerihealth Administrators $365 342%
Amerihealth New Jersey Hmo $365 342%
Carefirst Administrators $365 342%
Empire Plan $365 342%
Horizon Of New Jersey $365 342%
Ibc $365 342%
Ibc - Local $365 342%
Ibc 2021 $365 342%
Ibc Local $365 342%
Independence Administrators $365 342%
Independence Bc $365 342%
Independence Federal $365 342%
Keystone Direct Pos $365 342%
Keystone Healthplan East $365 342%
Keystone Hmo $365 342%
Pcsh Ibc $365 342%
Personal Choice $365 342%
Regence Blue Shield $365 342%
Ag Administrators $714 668%
Ag Administrators Inc $714 668%
Allied Benefit Systems $714 668%
Allied Benefits Systems $714 668%
Continental Benefits $714 668%
Coventry $714 668%
Geha $714 668%
Healthez $714 668%
Lucent Health $714 668%
Marpai Health $714 668%
Meritain Health $714 668%
Premier Care Network $714 668%
Trustmark $714 668%
Allsavers $718 672%
Golden Rule Op $718 672%
Oxford Health Plan $718 672%
Oxford Life Insurance Company $718 672%
Surest $718 672%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 Enterprise Drive, Royersford, PA 19468
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals