CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Elizabeth Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,401
Cash Discount Price: $3,099
vs. Medicare Baseline: 18.98x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Elizabeth Hospital is $3,401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,099. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 18.98x the Medicare baseline. Located in 1000 Lincoln St, Fort Morgan, CO.

Cash / Self-Pay

$3,099

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,401

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: $3,099 (1729%)

Insurance Median: $3,401 (1898%)

Cash: $3,099 (1729% of Medicare)

Ins. Median: $3,401 (1898% 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 1898% of the Medicare baseline (a markup of 1798%). 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 - $7,515	65%
Blue Cross Blue Shield	$116 - $1,100	65%
Cigna	$116 - $7,515	65%
Denver Health	$116 - $3,401	65%
Devoted Health	$116	65%
Humana	$116	65%
Kaiser	$116	65%
Medicare (plans)	$116	65%
UnitedHealthcare	$116 - $6,686	65%
Centura Employee Plan	$337	188%
United Colorado Doctor'S Plan	$6,020	3359%
Direct To Employer	$6,353	3545%
Multiplan	$7,283 - $7,515	4064%

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 $3,099.
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 St Elizabeth Hospital 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.