CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Brattleboro Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $172
Cash Discount Price: $2,160
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Brattleboro Memorial Hospital is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,160. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.96x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$2,160

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

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: $2,160 (1205%)

Insurance Median: $172 (96%)

Cash: $2,160 (1205% of Medicare)

Ins. Median: $172 (96% 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.

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
Amerihealth-Caritas	$44 - $138	25%
New Hampshire Healthy Families	$44 - $138	25%
Wellsense	$44 - $183	25%
Blue Cross Blue Shield	$51 - $2,777	28%
Cigna	$51 - $2,931	28%
Harvard Pilgrim Health Care	$51 - $2,684	28%
Martin'S Point	$51 - $171	28%
Mvp Healthcare	$51 - $2,777	28%
New Hampshire Healthy Families (Wellcare)	$53 - $179	30%
UnitedHealthcare	$120 - $2,931	67%
Tufts Health Plan	$134 - $2,822	75%
Humana	$171	95%
Multiplan	$188 - $2,993	105%
Vermont Health Plan	$253 - $2,761	141%
Aetna	$2,993	1670%
Coventry	$2,993	1670%
Health New England	$2,993	1670%

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 $2,160.
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 Brattleboro Memorial Hospital 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.