CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Sterling Regional Medcenter

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,249
  • Cash Discount Price: $405
  • vs. Medicare Baseline: 11.69x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Sterling Regional Medcenter is $1,249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $405. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.69x the Medicare baseline. Located in 615 Fairhurst St, Sterling, CO.
Cash / Self-Pay
$405

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,249

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: $405 (379%)
Insurance Median: $1,249 (1169%)
Cash: $405 (379% of Medicare)
Ins. Median: $1,249 (1169% 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 1169% of the Medicare baseline (a markup of 1069%). 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
Clear Spring Health $107 100%
UnitedHealthcare $107 - $1,421 100%
Longevity $110 103%
Humana $113 106%
Devoted Health Services $118 110%
Pinnacol Assurance Workers Comp $168 - $729 157%
Aetna $418 - $1,394 391%
Banner Health $465 435%
Blue Cross Blue Shield $465 - $1,740 435%
Healthspring Life & Health Insurance Company, Inc. $465 435%
Medica $465 - $1,249 435%
Medicare (plans) $465 435%
Assist Health Group $558 522%
Denver Health Medical Plan $908 850%
Apostrophe, Inc. $1,349 1263%
First Choice Health Network $1,349 1263%
First Choice Of The Midwest $1,424 1333%
Hue Health, Inc $1,424 1333%
Rocky Mountain Health Plans $1,424 1333%
Multiplan $1,454 1361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 615 Fairhurst St, Sterling, CO 80751
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals