CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Magee Memorial Hospital for Convalescents

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $171
Cash Discount Price: $211
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Magee Memorial Hospital for Convalescents is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.95x the Medicare baseline. Located in 1513 Race Street, Philadelphia, PA.

Cash / Self-Pay

$211

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $211 (118%)

Insurance Median: $171 (95%)

Cash: $211 (118% of Medicare)

Ins. Median: $171 (95% 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.

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
Magee Pa Health_Wellness	$104 - $181	58%
Aetna	$106 - $214	59%
Geisinger Health Plan	$108 - $672	60%
Magee Health Partners	$119 - $168	66%
Medicaid / KanCare	$143	80%
Magee Keystone First	$150 - $251	84%
Jefferson Health Plan Aca Qhp Exchange	$157	88%
Highmark Wholecare Gateway	$165	92%
Innovage	$165	92%
Inspira Life	$165	92%
Medicare (plans)	$165 - $181	92%
St Agnes	$165	92%
UnitedHealthcare	$165	92%
Humana	$168	94%
Cigna	$171	95%
Magee Keystone Vip	$171	95%
Devoted Health Participation	$173	97%
Magee Provider Partners Health Plan	$176	98%
Perennial	$191	107%
Ibc Employee Benefit	$206	115%
Ibc Main Line Health	$206	115%
Ambetter / Centene	$239	133%
Magee Naphcare	$264	147%
Magee United	$328	183%

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 $211.
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 Magee Memorial Hospital for Convalescents 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.