CMS Price Transparency Data

CT scan, head (no contrast)

Facility: East Morgan County Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $359
Cash Discount Price: $448
vs. Medicare Baseline: 3.36x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at East Morgan County Hospital is $359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $448. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.36x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.

Cash / Self-Pay

$448

Average discount available for prompt cash payment at this facility.

Insurance Median

$359

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: $448 (419%)

Insurance Median: $359 (336%)

Cash: $448 (419% of Medicare)

Ins. Median: $359 (336% 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 336% of the Medicare baseline (a markup of 236%). 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
Pinnacol Assurance Workers Comp	$37 - $632	35%
Aetna	$38 - $1,394	36%
Banner Health	$38 - $645	36%
Blue Cross Blue Shield	$38 - $1,611	36%
Clear Spring Health	$38 - $645	36%
Healthspring Life & Health Insurance Company, Inc.	$38 - $645	36%
Medica	$38 - $1,249	36%
Medicare (plans)	$38 - $645	36%
Triwest Healthcare Alliance Corp - Va Ccn	$38 - $645	36%
UnitedHealthcare	$38 - $1,394	36%
Longevity	$39 - $664	37%
Humana	$40 - $683	37%
Devoted Health Services	$42 - $709	39%
Assist Health Group	$45 - $773	42%
Denver Health Medical Plan	$70 - $1,199	66%
Apostrophe, Inc.	$79 - $1,349	74%
First Choice Health Network	$79 - $1,349	74%
Hue Health, Inc	$84 - $1,424	79%
Rocky Mountain Health Plans	$84 - $1,424	79%
Multiplan	$85 - $1,454	80%

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 $448.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm East Morgan County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.