70460

Ct scan head or brain with contrast

Medicare pricing data for 8,612 providers across 52 states

🤖AI Overview

This procedure has a 6.0x markup — hospitals charge $389.49 but Medicare allows only $65.34. Uninsured patients may face bills 6.0 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Ct scan head or brain with contrast (HCPCS code 70460) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.34, but hospitals typically charge $389.49 — a 6.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.07

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $65.34, your out-of-pocket cost would be approximately $13.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$65.34
Average Hospital Charge
$389.49
Markup Ratio
6.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$389.49
Medicare Allowed$65.34
Medicare Payment$49.94

Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $49.94 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$98$1312531+50.3%
Nevada$92$570100185+40.8%
Alaska$90$8883694+37.5%
New York$84$4645021,354+27.9%
Arizona$82$571187512+25.3%
New Jersey$78$455230563+19.9%
Maryland$78$374180444+19.8%
Wyoming$77$4502853+18.6%
California$73$4507991,627+12.4%
Florida$69$3945251,134+5.4%
Connecticut$67$331141274+2.9%
Texas$67$4586831,493+2.4%
Tennessee$67$378183430+2.3%
Colorado$66$383157314+0.4%
Minnesota$64$426294512-1.7%
District of Columbia$64$21932163-2.4%
Washington$64$315193357-2.5%
Arkansas$63$346115619-4.0%
South Carolina$63$407110240-4.3%
Virginia$62$568234617-5.1%
North Carolina$62$394298694-5.6%
Massachusetts$61$283282624-6.2%
Delaware$61$2503063-6.4%
Georgia$61$362179316-7.1%
Pennsylvania$61$317364721-7.4%
Oregon$59$265103231-9.2%
New Mexico$59$34155108-9.6%
Kentucky$59$261108212-10.3%
Maine$58$23456123-10.8%
Alabama$57$30889131-12.2%
Illinois$57$356305699-13.2%
Wisconsin$56$574173352-14.3%
Michigan$56$238311912-14.5%
Ohio$55$341315667-15.1%
Kansas$55$28167113-15.6%
New Hampshire$55$69363155-16.0%
Indiana$55$286145290-16.2%
Iowa$55$37968151-16.3%
Hawaii$54$2771828-17.0%
Utah$54$20377180-17.8%
Missouri$54$332177495-18.0%
Mississippi$53$26366104-18.5%
Rhode Island$53$2333961-19.3%
Nebraska$53$21369142-19.5%
Oklahoma$53$392103258-19.6%
Montana$52$1672035-19.7%
North Dakota$52$2221733-20.0%
Vermont$52$2731763-20.7%
West Virginia$51$2644893-21.5%
South Dakota$51$2311333-22.0%
Idaho$51$3143374-22.1%
Louisiana$49$23792223-24.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber