CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Preston Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,394
Cash Discount Price: $958
vs. Medicare Baseline: 7.78x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Preston Memorial Hospital is $1,394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $958. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.78x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.

Cash / Self-Pay

$958

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,394

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: $958 (535%)

Insurance Median: $1,394 (778%)

Cash: $958 (535% of Medicare)

Ins. Median: $1,394 (778% 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 778% of the Medicare baseline (a markup of 678%). 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	$1,149	641%
Aetna	$1,149 - $1,724	641%
Humana	$1,149	641%
Medicare (plans)	$1,149 - $1,551	641%
Uhc_Va	$1,149	641%
Upmc	$1,207	674%
Medicaid / KanCare	$1,245 - $1,307	695%
Blue_Cross_Highmark_Aca	$1,394	778%
Blue_Cross_Highmark_Pos	$1,546	863%
Blue_Cross_Highmark_Ppo	$1,546	863%
Blue_Cross_Highmark_Traditional	$1,697	947%
UnitedHealthcare	$1,724	962%
Cigna	$1,762	983%
Geha	$1,819	1015%
4_Most	$1,858	1037%
Health	$1,858	1037%

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 $958.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.