CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Gifford Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $213
Cash Discount Price: $115
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Gifford Medical Center is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.19x the Medicare baseline. Located in 44 South Main Street, Randolph, VT.

Cash / Self-Pay

$115

Average discount available for prompt cash payment at this facility.

Insurance Median

$213

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: $115 (64%)

Insurance Median: $213 (119%)

Cash: $115 (64% of Medicare)

Ins. Median: $213 (119% 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
Martins Point Health Care	$57 - $1,141	32%
Mvp Health Care Of Ny	$57 - $2,156	32%
UnitedHealthcare	$57 - $2,410	32%
Blue Cross Blue Shield	$59 - $2,156	33%
Cigna	$90 - $2,029	50%
Harvard Pilgrim Health Care	$183 - $2,029	102%
Multiplan	$213 - $2,359	119%
Aetna	$215 - $2,410	120%

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 $115.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Gifford Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.