CMS Price Transparency Data

CT scan, head (with contrast)

Facility: UPMC Wellsboro

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,402
Cash Discount Price: $2,620
vs. Medicare Baseline: 13.40x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at UPMC Wellsboro is $2,402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,620. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.40x the Medicare baseline. Located in 32-36 Central Avenue, Wellsboro, PA.

Cash / Self-Pay

$2,620

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,402

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: $2,620 (1462%)

Insurance Median: $2,402 (1340%)

Cash: $2,620 (1462% of Medicare)

Ins. Median: $2,402 (1340% 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 1340% of the Medicare baseline (a markup of 1240%). 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	$102 - $3,359	57%
Amerihealth Caritas	$147	82%
Geisinger	$147 - $2,648	82%
Upmc Health Plan	$147 - $1,723	82%
Highmark Wholecare (Prev Gateway)	$149 - $790	83%
Health Partners Plans (Jefferson Health Plan)	$202	113%
Pa Health & Wellness	$228 - $854	127%
Upmc Work Partners	$618	345%
Aetna	$645 - $3,411	360%
Blue Cross Blue Shield	$717 - $1,999	400%
Cigna	$753 - $830	420%
Wirerope Works	$1,993 - $2,197	1112%
Multiplan	$2,796 - $3,754	1560%
America'S Choice	$3,226 - $3,557	1800%
Intergroup	$3,226 - $3,557	1800%

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 $2,620.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UPMC Wellsboro is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.