CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: UPMC Muncy

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,272
Cash Discount Price: $2,704
vs. Medicare Baseline: 12.68x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at UPMC Muncy is $2,272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,704. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.68x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$2,704

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,272

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: $2,704 (1509%)

Insurance Median: $2,272 (1268%)

Cash: $2,704 (1509% of Medicare)

Ins. Median: $2,272 (1268% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1268% of the Medicare baseline (a markup of 1168%). 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	$128 - $3,083	71%
Geisinger	$175 - $3,020	98%
Upmc Health Plan	$175 - $1,965	98%
Highmark Wholecare (Prev Gateway)	$177 - $676	99%
Amerihealth Caritas	$179 - $2,208	100%
Pa Health & Wellness	$271 - $2,316	151%
Cigna	$710 - $3,087	396%
Upmc Work Partners	$823	459%
Three Rivers Provider Network	$881 - $4,056	492%
Blue Cross Blue Shield	$1,768 - $2,082	987%
Aetna	$1,828 - $2,975	1020%
Coventry/First Health	$2,258 - $3,033	1260%
Wirerope Works	$2,506	1398%
Multiplan	$3,515 - $4,282	1961%
America'S Choice	$3,606	2012%
Intergroup	$3,606	2012%

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 $2,704.
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 UPMC Muncy 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.