CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Porter Hospital Inc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $139
Cash Discount Price: $1,042
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Porter Hospital Inc is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,042. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.30x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.

Cash / Self-Pay

$1,042

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $1,042 (976%)

Insurance Median: $139 (130%)

Cash: $1,042 (976% of Medicare)

Ins. Median: $139 (130% 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.

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
UnitedHealthcare	$27 - $1,854	25%
Mvp	$32 - $1,746	30%
Fidelis Care	$34 - $792	32%
Humana	$36 - $101	34%
Aetna	$38 - $880	36%
Capital District Physicians' Health Plan	$38 - $1,562	36%
Martins Point	$38 - $880	36%
Veterans Affairs Community Care Network	$38 - $880	36%
Veterans Choice	$38 - $880	36%
Blue Cross Blue Shield	$44 - $1,765	41%
Harvard Pilgrim	$44 - $1,498	41%
Coventry	$50 - $1,648	47%
Cigna	$55 - $1,703	51%
Wellpath	$116 - $1,030	109%
Medical Corporation	$200 - $1,779	187%
Multiplan	$200 - $1,779	187%

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 $1,042.
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 Porter Hospital Inc 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.