CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Luke's Hospital - Monroe Campus

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $335
  • Cash Discount Price: $5,740
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Luke's Hospital - Monroe Campus is $335. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,740. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.87x the Medicare baseline. Located in 100 St Luke's Lane, Stroudsburg, PA.
Cash / Self-Pay
$5,740

Average discount available for prompt cash payment at this facility.

Insurance Median
$335

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: $5,740 (3203%)
Insurance Median: $335 (187%)
Cash: $5,740 (3203% of Medicare)
Ins. Median: $335 (187% 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
Blue Cross Blue Shield $182 - $1,934 102%
Highmark $182 - $442 102%
Highmark Wholecare $183 102%
Aetna $186 - $2,414 104%
Geisinger $186 - $1,945 104%
Humana $190 106%
Amerihealth Caritas $191 107%
Upmc Health Plan $191 - $1,896 107%
UnitedHealthcare $197 - $1,999 110%
Jefferson Health Plan $229 128%
Oscar $1,795 1002%
Cigna $1,893 1056%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 St Luke's Lane, Stroudsburg, PA 18360
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals