CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Preston Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,691
Cash Discount Price: $1,162
vs. Medicare Baseline: 9.44x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Preston Memorial Hospital is $1,691. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,162. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.44x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.

Cash / Self-Pay

$1,162

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,691

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: $1,162 (648%)

Insurance Median: $1,691 (944%)

Cash: $1,162 (648% of Medicare)

Ins. Median: $1,691 (944% 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 944% of the Medicare baseline (a markup of 844%). 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
Unicare	$103	57%
Advantra	$1,395	778%
Aetna	$1,395 - $2,092	778%
Humana	$1,395	778%
Medicare (plans)	$1,395 - $1,883	778%
Uhc_Va	$1,395	778%
Upmc	$1,464	817%
Medicaid / KanCare	$1,511 - $1,586	843%
Blue_Cross_Highmark_Aca	$1,691	944%
Blue_Cross_Highmark_Pos	$1,876	1047%
Blue_Cross_Highmark_Ppo	$1,876	1047%
Blue_Cross_Highmark_Traditional	$2,060	1150%
UnitedHealthcare	$2,092	1167%
Cigna	$2,139	1194%
Geha	$2,208	1232%
4_Most	$2,255	1258%
Health	$2,255	1258%

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 $1,162.
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 Preston Memorial 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.