CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Baxter Health Fulton County Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $677
  • Cash Discount Price: $930
  • vs. Medicare Baseline: 3.78x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Baxter Health Fulton County Hospital is $677. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $930. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.78x the Medicare baseline. Located in 679 North Main Street, Salem, AR.
Cash / Self-Pay
$930

Average discount available for prompt cash payment at this facility.

Insurance Median
$677

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: $930 (519%)
Insurance Median: $677 (378%)
Cash: $930 (519% of Medicare)
Ins. Median: $677 (378% 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 378% of the Medicare baseline (a markup of 278%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $175 98%
Medicaid / KanCare $251 140%
Medicare (plans) $677 378%
Vapccc3 All Regions 1-6 Dos Gt 1/30/19 $691 386%
UnitedHealthcare $717 400%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 679 North Main Street, Salem, AR 72576
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals