CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Vandalia Health Broaddus Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,114
Cash Discount Price: $1,065
vs. Medicare Baseline: 10.43x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Vandalia Health Broaddus Hospital is $1,114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,065. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.43x the Medicare baseline. Located in 1 Healthcare Drive Mansfield Hill, Philippi, WV.

Cash / Self-Pay

$1,065

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,114

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: $1,065 (997%)

Insurance Median: $1,114 (1043%)

Cash: $1,065 (997% of Medicare)

Ins. Median: $1,114 (1043% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1043% of the Medicare baseline (a markup of 943%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Correctional Medical Systems	$29 - $73	27%
Aetna	$30 - $1,360	28%
The Health Plan	$30 - $1,369	28%
Unicare	$30 - $76	28%
Blue Cross Blue Shield	$73 - $1,079	68%
Peak Health	$262 - $484	245%
Highmark	$1,114	1043%
UnitedHealthcare	$1,126 - $1,477	1054%
Humana	$1,171	1096%
West Virginia Senior Advantage	$1,182	1107%
Cigna	$1,331	1246%
First Health	$1,360	1273%
Geisenger Health Plan	$1,415	1325%
Health Network America	$1,415 - $1,445	1325%
Multiplan/Phcs	$1,430	1339%
Geha	$1,445	1353%
Selectnet	$1,491	1396%

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 $1,065.
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 Vandalia Health Broaddus Hospital 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.