CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,854
Cash Discount Price: $2,033
vs. Medicare Baseline: 10.35x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Regional Medical Center is $1,854. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,033. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.35x the Medicare baseline. Located in 1010 Three Springs Blvd, Durango, CO.

Cash / Self-Pay

$2,033

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,854

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: $2,033 (1134%)

Insurance Median: $1,854 (1035%)

Cash: $2,033 (1134% of Medicare)

Ins. Median: $1,854 (1035% 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 1035% of the Medicare baseline (a markup of 935%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$116 - $4,472	65%
Blue Cross Blue Shield	$116 - $4,472	65%
Cigna	$116 - $4,370	65%
Denver Health	$116 - $1,499	65%
Humana	$116 - $4,320	65%
Innovage	$116	65%
Kaiser	$116	65%
Medicare (plans)	$116	65%
Rocky Mountain Pace	$116	65%
UnitedHealthcare	$116 - $402	65%
Archdiocese Of Denver	$310	173%
Centura Employee Plan	$337	188%
United Colorado Doctor'S Plan	$402	224%
Direct To Employer	$3,303	1843%
Presbyterian Health Plan	$3,811	2127%
Multiplan	$4,574	2552%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,033.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.