CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercy Regional Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,257
  • Cash Discount Price: $1,191
  • vs. Medicare Baseline: 11.77x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercy Regional Medical Center is $1,257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,191. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.77x the Medicare baseline. Located in 1010 Three Springs Blvd, Durango, CO.
Cash / Self-Pay
$1,191

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,257

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,191 (1115%)
Insurance Median: $1,257 (1177%)
Cash: $1,191 (1115% of Medicare)
Ins. Median: $1,257 (1177% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1177% of the Medicare baseline (a markup of 1077%). 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
Aetna $68 - $2,619 64%
Blue Cross Blue Shield $68 - $2,619 64%
Cigna $68 - $2,560 64%
Denver Health $68 - $878 64%
Humana $68 - $2,530 64%
Innovage $68 64%
Kaiser $68 64%
Medicare (plans) $68 64%
Rocky Mountain Pace $68 64%
UnitedHealthcare $68 - $245 64%
United Colorado Doctor'S Plan $245 229%
Archdiocese Of Denver $310 290%
Centura Employee Plan $337 316%
Direct To Employer $1,935 1812%
Presbyterian Health Plan $2,232 2090%
Multiplan $2,679 2508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1010 Three Springs Blvd, Durango, CO 81301
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals