CMS Price Transparency Data

CT scan, head (no contrast)

Facility: UPMC Muncy

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,413
Cash Discount Price: $1,603
vs. Medicare Baseline: 13.23x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at UPMC Muncy is $1,413. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,603. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.23x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$1,603

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,413

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: $1,603 (1501%)

Insurance Median: $1,413 (1323%)

Cash: $1,603 (1501% of Medicare)

Ins. Median: $1,413 (1323% 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 1323% of the Medicare baseline (a markup of 1223%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$99 - $1,827	93%
Geisinger	$128 - $1,790	120%
Upmc Health Plan	$128 - $1,165	120%
Highmark Wholecare (Prev Gateway)	$130 - $401	122%
Amerihealth Caritas	$132 - $2,208	124%
Pa Health & Wellness	$199 - $2,316	186%
Cigna	$421 - $1,830	394%
Upmc Work Partners	$568	532%
Three Rivers Provider Network	$608 - $2,404	569%
Blue Cross Blue Shield	$1,048 - $1,234	981%
Aetna	$1,083 - $1,763	1014%
Coventry/First Health	$1,338 - $1,798	1253%
Wirerope Works	$1,485	1390%
Multiplan	$2,083 - $2,537	1950%
America'S Choice	$2,137	2001%
Intergroup	$2,137	2001%

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 $1,603.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UPMC Muncy is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.