CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Shriners Hospitals for Children - Philadelphia

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $181
  • Cash Discount Price: $1,849
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Shriners Hospitals for Children - Philadelphia is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,849. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.01x the Medicare baseline. Located in 3551 N Broad Street, Philadelphia, PA.
Cash / Self-Pay
$1,849

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $1,849 (1032%)
Insurance Median: $181 (101%)
Cash: $1,849 (1032% of Medicare)
Ins. Median: $181 (101% 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.

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
Soonercare $126 70%
Aetna $134 - $218 75%
Ambetter / Centene $134 - $296 75%
Amerihealth Mercy Health Plans $134 75%
Gateway Health Plan $134 75%
Geisinger Health Plan $134 75%
Health Partners Of Philadelphia $134 75%
Keystone Mercy Health Plans $134 75%
Upmc Health Plan $134 75%
UnitedHealthcare $182 102%
Amerihealth Caritas Nc $207 116%
Amerihealth Caritas Sc $207 116%
Blue Cross Blue Shield $211 - $363 118%
Providence Health Plan $215 120%
Sana Benefits $252 141%
Humana $296 165%
Cigna $306 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3551 N Broad Street, Philadelphia, PA 19104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens