CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Christopher's Hospital for Children

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $948
Cash Discount Price: $3,786
vs. Medicare Baseline: 5.29x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St Christopher's Hospital for Children is $948. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,786. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.29x the Medicare baseline. Located in 160 East Erie Ave, Philadelphia, PA.

Cash / Self-Pay

$3,786

Average discount available for prompt cash payment at this facility.

Insurance Median

$948

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: $3,786 (2113%)

Insurance Median: $948 (529%)

Cash: $3,786 (2113% of Medicare)

Ins. Median: $948 (529% 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 529% of the Medicare baseline (a markup of 429%). 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	$98 - $3,407	55%
Amerihealth Caritas	$100	56%
Pa Health & Wellness	$108	60%
UnitedHealthcare	$120 - $280	67%
Aetna	$140 - $5,678	78%
Upmc	$144	80%
Keystone First	$151	84%
Gateway	$178	99%
Health Partners	$213 - $1,699	119%
Cigna	$234	131%
Horizon Nj Health	$287	160%
Blue Cross Blue Shield	$474 - $4,106	265%
Wellpoint Nj (Formerly Amerigroup)	$2,006	1119%

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 $3,786.
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 St Christopher's Hospital for Children 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.