CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $231
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lehigh Valley Hospital - Macungie is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.29x the Medicare baseline. Located in 3369 State Route 100, Macungie, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$231

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%)
Insurance Median: $231 (129%)
Ins. Median: $231 (129% 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 $181 - $1,441 101%
Highmark Blue Shield $183 - $487 102%
Humana $183 102%
Amerihealth $187 104%
Cigna $187 - $556 104%
Geisinger $187 - $797 104%
Aetna $190 - $905 106%
Jefferson Health Partners $190 - $362 106%
Upmc $192 - $883 107%
Gateway $194 108%
Emblem $196 - $808 109%
Pa Health & Wellness (Allwell) $199 111%
Highmark Wholecare/Gateway $202 113%
Pa Health & Wellness $215 120%
Amerihealth Caritas $231 129%
Ambetter / Centene $550 307%
Valley Preferred $1,057 590%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals