CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Mercy Hospital Berryville
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $730
- Cash Discount Price: $1,772
- vs. Medicare Baseline: 4.07x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Hospital Berryville is $730. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,772. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.07x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$1,772
Average discount available for prompt cash payment at this facility.
Insurance Median
$730
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: $1,772 (989%)
Insurance Median: $730 (407%)
Cash: $1,772 (989% of Medicare)
Ins. Median: $730 (407% 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 407% of the Medicare baseline (a markup of 307%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $99 - $1,056 | 55% |
| Blue Cross Blue Shield | $152 - $695 | 85% |
| UnitedHealthcare | $152 - $695 | 85% |
| Summit Community Care Contracted [320368] | $251 | 140% |
| Summit Community Care [20368] | $251 | 140% |
| United Medical Resources Contracted [320454] | $364 - $2,317 | 203% |
| Arkansas Total Care Contracted [320039] | $570 | 318% |
| Aetna | $695 | 388% |
| American Health Advantage Of Mo Mcr [20264] | $695 | 388% |
| Cherokee Nation Health Serv Contracted [320066] | $695 | 388% |
| Cross Timbers Hospice [20098] | $695 | 388% |
| Dept Of Veteran Affairs Contracted [320106] | $695 | 388% |
| Elara Caring Aspire Hospice [20433] | $695 | 388% |
| Globalhealth Contracted [320145] | $695 | 388% |
| Halo Hcr Inc Hospice Contracted [320432] | $695 | 388% |
| Halo Hcr Inc Hospice [20432] | $695 | 388% |
| Humana | $695 - $2,317 | 388% |
| Independent Health [20197] | $695 | 388% |
| Indian Health Service Contracted [320198] | $695 | 388% |
| Indian Health Service [20198] | $695 | 388% |
| Jordan Valley Senior Care Pace [20515] | $695 | 388% |
| Kindful Hospice Contracted [320434] | $695 | 388% |
| Kindful Hospice [20434] | $695 | 388% |
| Medical Associates Health [20444] | $695 | 388% |
| Medicare (plans) | $695 - $730 | 388% |
| Mercy Hospice Okc [20252] | $695 | 388% |
| Mercy Mgd Behavioral Health Contracted [320259] | $695 | 388% |
| Pace Of The Ozarks [20518] | $695 | 388% |
| Provider Partners Health Plans Contracted [320450] | $695 | 388% |
| Qual Choice Contracted [320325] | $695 | 388% |
| Spina Bifida Hlthcare Benefit [20506] | $695 | 388% |
| Valir Pace [20503] | $695 | 388% |
| Wellfirst Health Mcr [20443] | $695 | 388% |
| Tricare | $709 | 396% |
| Cigna | $730 | 407% |
| Mercy Interfacility [20513] | $795 | 444% |
| Healthscope Contracted [320182] | $869 | 485% |
| Qual Choice Contracted [320324] | $912 | 509% |
| Ambetter / Centene | $1,056 | 589% |
| Home State Health Plan Contracted [320187] | $1,056 | 589% |
| Novasys Contracted [320285] | $1,104 | 616% |
| Administrative Payor Contracted [320005] | $1,227 | 685% |
| Auxiant Contracted [320462] | $1,636 - $2,453 | 913% |
| Healthlink Contracted [320179] | $1,772 - $2,317 | 989% |
| Mercy Benefit Admin Contracted [320251] | $1,772 - $2,317 | 989% |
| Personify Health Contracted [320051] | $1,772 | 989% |
| Preferred Health Plan Contracted [320522] | $1,772 | 989% |
| Insurance System Inc Contracted [320465] | $2,181 | 1217% |
| Point C Contracted [320238] | $2,181 | 1217% |
| Medica Contracted [320239] | $2,306 | 1287% |
| 90 Degree Benefits Contracted [320436] | $2,317 | 1293% |
| Aither Health Contracted [320449] | $2,317 | 1293% |
| Benefit Management Contracted [320052] | $2,317 | 1293% |
| Ebms Contracted [320493] | $2,317 | 1293% |
| Edison Health Solutions Contracted [320502] | $2,317 | 1293% |
| First Health Contracted [320128] | $2,317 | 1293% |
| Healthsmart Preferred Care Contracted [320184] | $2,317 | 1293% |
| Imagine 360 Contracted [320494] | $2,317 | 1293% |
| Ppo Plus Contracted [320310] | $2,317 | 1293% |
| Reflect Health Contracted [320492] | $2,317 | 1293% |
| Show-Me Health Administrators Contracted [320483] | $2,317 | 1293% |
| Multiplan Contracted [320270] | $2,590 | 1445% |
| Private Health Care Systems Contracted [320320] | $2,590 | 1445% |