CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: East Morgan County Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $537
Cash Discount Price: $672
vs. Medicare Baseline: 3.00x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at East Morgan County Hospital is $537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $672. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.00x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.

Cash / Self-Pay

$672

Average discount available for prompt cash payment at this facility.

Insurance Median

$537

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: $672 (375%)

Insurance Median: $537 (300%)

Cash: $672 (375% of Medicare)

Ins. Median: $537 (300% 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 300% of the Medicare baseline (a markup of 200%). 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	$55 - $948	31%
Aetna	$56 - $2,092	31%
Banner Health	$56 - $967	31%
Blue Cross Blue Shield	$56 - $1,694	31%
Clear Spring Health	$56 - $967	31%
Healthspring Life & Health Insurance Company, Inc.	$56 - $967	31%
Medica	$56 - $1,873	31%
Medicare (plans)	$56 - $967	31%
Triwest Healthcare Alliance Corp - Va Ccn	$56 - $967	31%
UnitedHealthcare	$56 - $2,092	31%
Longevity	$58 - $996	32%
Humana	$59 - $1,025	33%
Devoted Health Services	$61 - $1,064	34%
Assist Health Group	$67 - $1,160	37%
Denver Health Medical Plan	$104 - $1,799	58%
Apostrophe, Inc.	$117 - $2,024	65%
First Choice Health Network	$117 - $2,024	65%
Hue Health, Inc	$124 - $2,137	69%
Rocky Mountain Health Plans	$124 - $2,137	69%
Multiplan	$126 - $2,182	70%

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 $672.
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 East Morgan County 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.