CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Children's Hospital of Philadelphia

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,414
Cash Discount Price: $3,753
vs. Medicare Baseline: 13.24x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Children's Hospital of Philadelphia is $1,414. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,753. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.24x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$3,753

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,414

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: $3,753 (3514%)

Insurance Median: $1,414 (1324%)

Cash: $3,753 (3514% of Medicare)

Ins. Median: $1,414 (1324% 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 1324% of the Medicare baseline (a markup of 1224%). 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
Geisinger Medical Assistance	$105	98%
Highmark Wholecare	$116	109%
Horizon Nj Health	$496	464%
Medicaid / KanCare	$619	580%
UnitedHealthcare	$623 - $1,299	583%
Health Partners	$707	662%
Aetna	$988 - $1,876	925%
Upmc Medical Assistance	$1,024	959%
Keystone First Chip	$1,163	1089%
Keystone Health Plan East	$1,187	1111%
Blue Cross Blue Shield	$1,325 - $1,503	1241%
Jefferson Health Plans	$1,775	1662%
Geisinger Health Plan Commercial	$1,802	1687%
Cigna	$1,876	1756%
Highmark	$1,876	1756%
Qualcare	$2,064	1932%
First Health Network	$2,439	2283%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$3,002	2811%
Private Health Care Systems	$3,002	2811%
Choice Care Network	$3,377	3162%

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 $3,753.
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 Children's Hospital of Philadelphia 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.