CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St Thomas More Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,653
  • Cash Discount Price: $972
  • vs. Medicare Baseline: 15.48x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at St Thomas More Hospital is $1,653. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $972. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.48x the Medicare baseline. Located in 1338 Phay Ave, Canon City, CO.
Cash / Self-Pay
$972

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,653

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: $972 (910%)
Insurance Median: $1,653 (1548%)
Cash: $972 (910% of Medicare)
Ins. Median: $1,653 (1548% 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 1548% of the Medicare baseline (a markup of 1448%). 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
Blue Cross Blue Shield $194 - $2,139 182%
Centura Employee Plan $337 316%
Aetna $365 - $2,187 342%
Cigna $365 - $2,090 342%
Devoted Health $365 342%
Humana $365 342%
Innovage $365 342%
Kaiser $365 - $2,089 342%
Medicare (plans) $365 342%
UnitedHealthcare $365 - $2,139 342%
Denver Health $1,067 999%
United Colorado Doctor'S Plan $1,925 1802%
Direct To Employer $1,993 1866%
Multiplan $2,066 1934%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1338 Phay Ave, Canon City, CO 81212
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals