CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Vandalia Health Broaddus Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,749
Cash Discount Price: $1,671
vs. Medicare Baseline: 9.76x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Vandalia Health Broaddus Hospital is $1,749. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,671. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.76x the Medicare baseline. Located in 1 Healthcare Drive Mansfield Hill, Philippi, WV.

Cash / Self-Pay

$1,671

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,749

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: $1,671 (932%)

Insurance Median: $1,749 (976%)

Cash: $1,671 (932% of Medicare)

Ins. Median: $1,749 (976% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 976% of the Medicare baseline (a markup of 876%). 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	$43 - $119	24%
Aetna	$45 - $2,134	25%
The Health Plan	$45 - $2,148	25%
Unicare	$45 - $125	25%
Blue Cross Blue Shield	$110 - $1,693	61%
Peak Health	$412 - $760	230%
Highmark	$1,749	976%
UnitedHealthcare	$1,766 - $2,318	985%
Humana	$1,837	1025%
West Virginia Senior Advantage	$1,855	1035%
Cigna	$2,089	1166%
First Health	$2,134	1191%
Geisenger Health Plan	$2,220	1239%
Health Network America	$2,220 - $2,268	1239%
Multiplan/Phcs	$2,244	1252%
Geha	$2,268	1266%
Selectnet	$2,339	1305%

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 $1,671.
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 Vandalia Health Broaddus Hospital 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.