CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Reston Hospital Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,048
Cash Discount Price: $3,211
vs. Medicare Baseline: 9.81x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Reston Hospital Center is $1,048. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,211. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.81x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$3,211

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,048

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: $3,211 (3006%)

Insurance Median: $1,048 (981%)

Cash: $3,211 (3006% of Medicare)

Ins. Median: $1,048 (981% 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 981% of the Medicare baseline (a markup of 881%). 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
Blue Cross Blue Shield	$150 - $452	140%
United	$245 - $1,458	229%
Lifeworks	$604 - $616	565%
Cigna	$630 - $1,092	590%
Universal Healthcare Group	$700 - $713	655%
Carefirst	$1,048	981%
Aetna	$1,819	1703%
Greenvbrier Sporting Club	$1,909 - $1,944	1787%
Virginia Health Network	$2,259 - $2,301	2115%
Corvel	$2,291 - $2,333	2145%
Occunet Workers Comp	$2,545 - $2,592	2383%
4Most Health Network	$2,863 - $2,916	2680%

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 $3,211.
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 Reston Hospital Center 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.