CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Uva Health Haymarket Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $561
  • Cash Discount Price: $1,220
  • vs. Medicare Baseline: 3.13x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Uva Health Haymarket Medical Center is $561. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,220. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.13x the Medicare baseline. Located in 15225 Healthcote Boulevard, Haymarket, VA.
Cash / Self-Pay
$1,220

Average discount available for prompt cash payment at this facility.

Insurance Median
$561

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: $1,220 (681%)
Insurance Median: $561 (313%)
Cash: $1,220 (681% of Medicare)
Ins. Median: $561 (313% 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 313% of the Medicare baseline (a markup of 213%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Champva [50002] $99 55%
Tricare $99 55%
Blue Cross Blue Shield $181 - $561 101%
Cigna $181 - $1,951 101%
Medicare (plans) $181 101%
UnitedHealthcare $181 - $2,062 101%
VA Ccn [99926] $181 101%
VA Ccn [99927] $181 101%
Veterans Administration [99910] $181 101%
Aetna $183 - $2,015 102%
Humana $185 103%
Carefirst [30007] $703 - $856 392%
Geha [40009] $1,660 926%
Multiplan Generic [40035] $1,854 1035%
Vhn Generic [40040] $1,854 1035%
Sentara Behavioral Health [40052] $1,895 1057%
Sentara [40021] $1,895 1057%
Kaiser Permenente [40014] $2,195 1225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15225 Healthcote Boulevard, Haymarket, VA 20169
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals