CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $218
  • Cash Discount Price: $4,322
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Univ. of Vermont - Fletcher Allen Health Care is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,322. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.22x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.
Cash / Self-Pay
$4,322

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

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: $4,322 (2412%)
Insurance Median: $218 (122%)
Cash: $4,322 (2412% of Medicare)
Ins. Median: $218 (122% 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
UnitedHealthcare $40 - $4,255 22%
Blue Cross Blue Shield $42 - $4,185 23%
Mvp $48 - $2,921 27%
Aetna $57 - $179 32%
Capital District Physicians' Health Plan $57 - $3,237 32%
Humana $57 - $1,210 32%
Martins Point $57 - $184 32%
St. Regis $57 - $179 32%
Veterans Affairs Community Care Network $57 - $179 32%
Fidelis Care $65 - $197 36%
Wellpath $80 - $2,377 45%
Ebpa $209 - $3,717 117%
Harvard Pilgrim $218 - $3,458 122%
Magnacare $218 - $3,458 122%
Coventry $231 - $3,674 129%
Nppn $245 - $3,890 137%
Cigna $253 - $3,890 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 111 Colchester Ave, Burlington, VT 05401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals