CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Regional Medical Center

Billing Code: 70470 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$124

about 0.7× the $179 Medicare rate · typically $114–$177

modeled estimate · not a bill or quote

What this hospital charges insurers

$116

About the fair price

about $8 under the fair price · 0.6× Medicare

Medicare pays $179 Fair price $124 This hospital $116 Cash price $2,033 Hospital's list price $5,082

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

A typical price — 0 charge more and 4 charge less, among the 9 CO hospitals compared.

Cheapest $59 Priciest $116

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (with and without contrast) is about $124 (about 0.7× the $179 Medicare rate). Mercy Regional Medical Center charges insurers about $116, or about $2,033 in cash — about the fair price. Located in Durango, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$116 - $402	65%
Blue Cross Blue Shieldmajor	$116 - $4,472	65%
Aetnamajor	$116 - $4,472	65%
Cignamajor	$116 - $4,370	65%
Humanamajor	$116 - $4,320	65%
Kaiser Permanentemajor	$116	65%
Presbyterian	$3,811	2127%
+ 6 smaller / regional plans	$116 - $3,303

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,033), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70470.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Regional Medical Center

Compare: CT scan, head (with and without contrast) at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.