70470

Ct scan of head or brain before and after contrast

Medicare pricing data for 17,399 providers across 52 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $452.29 but Medicare allows only $82.21. Uninsured patients may face bills 5.5 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 of head or brain before and after contrast (HCPCS code 70470) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $82.21, but hospitals typically charge $452.29 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.44

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $82.21, your out-of-pocket cost would be approximately $16.44. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$82.21
Average Hospital Charge
$452.29
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$452.29
Medicare Allowed$82.21
Medicare Payment$62.32

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $62.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$117$2034277+42.6%
Maryland$109$4803971,409+32.6%
New Jersey$106$5653841,240+28.4%
Florida$104$5871,3335,582+27.1%
California$104$5401,4614,768+27.0%
Nevada$95$577175520+16.1%
Hawaii$92$40955139+11.5%
New York$91$4468143,205+10.6%
Alaska$89$6423592+8.0%
District of Columbia$88$36646149+6.8%
Texas$87$6141,4195,595+6.2%
Arizona$86$4423251,556+5.2%
Connecticut$84$438222559+2.5%
Rhode Island$84$38069179+2.0%
Washington$82$390292784-0.0%
Virginia$82$4624831,948-0.5%
New Mexico$81$47484213-1.2%
Wyoming$79$3783483-3.6%
Georgia$78$4784971,644-4.8%
Tennessee$78$4315482,113-4.9%
Utah$78$285124324-5.7%
South Carolina$77$4913471,230-6.0%
Arkansas$77$3482621,906-6.8%
North Dakota$76$52554206-7.5%
North Carolina$76$4495611,854-7.7%
Alabama$76$3763461,154-7.9%
Minnesota$75$4185231,570-9.0%
Wisconsin$74$579307890-9.5%
Oregon$73$322166422-11.3%
Colorado$73$392278746-11.5%
Massachusetts$72$3594031,113-11.9%
Delaware$71$29655241-13.1%
Kansas$71$324206976-13.3%
Illinois$71$4497652,579-13.5%
Louisiana$71$4072951,157-14.2%
Kentucky$69$3242481,002-16.1%
Pennsylvania$69$3217682,087-16.2%
Iowa$69$354177569-16.5%
Montana$68$25653132-16.9%
Michigan$68$3134411,650-16.9%
Maine$68$31051130-17.2%
South Dakota$68$29960174-17.6%
Ohio$67$3945491,816-17.9%
Idaho$67$34367159-18.9%
Missouri$66$3304071,647-19.9%
Oklahoma$66$3842261,026-19.9%
Nebraska$65$296151912-20.9%
Indiana$64$3353641,379-21.8%
Mississippi$64$485174812-22.1%
New Hampshire$64$46687241-22.3%
West Virginia$63$306123617-23.1%
Vermont$62$34326118-24.4%

⚠️ 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