CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Sartori Memorial Hospital, Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $269
  • Cash Discount Price: $1,914
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Sartori Memorial Hospital, Inc is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,914. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.50x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$1,914

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

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: $1,914 (1068%)
Insurance Median: $269 (150%)
Cash: $1,914 (1068% of Medicare)
Ins. Median: $269 (150% 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.

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
Aetna $165 - $766 92%
Medicare (plans) $165 - $172 92%
Blue Cross Blue Shield $167 - $179 93%
UnitedHealthcare $169 - $2,945 94%
Iowa Total Care $176 98%
Medicaid / KanCare $178 - $179 99%
Bcn Domestic $179 100%
Blue Benefit Administrators Of Massachusetts $179 100%
Blue Care Network $179 100%
Blue Distinction Transplant $179 100%
Blue Shield - Ca $179 100%
Blue Shield - Id (Regence) $179 100%
Blue Shield - Ny Highmark Northeastern $179 100%
Blue Shield - Ny Highmark Western $179 100%
Blue Shield - Pa (Highmark) $179 100%
Blue Shield - Wa (Regence) $179 100%
Kaiser Domestic $179 100%
Pre-Employment $179 100%
Wc Domestic $179 100%
Amish Hospital Aid $224 125%
Oscar $259 145%
Centivo $280 156%
Ambetter / Centene $283 158%
Claimdoc $339 189%
Nova $339 189%
Geha $406 227%
Health Choices $692 386%
Medical Associates $692 386%
Allied Benefit Systems $766 427%
Asr Health Benefits $766 427%
Coventry $766 427%
First Health $766 427%
Lucent Health $766 427%
Luminare Health $766 427%
Medical Mutual $766 427%
Meritain $766 427%
Webtpa $766 427%
Health Partners $963 537%
Auxiant $2,091 1167%
Cigna $2,091 1167%
Medica $2,091 1167%
Midlands $2,091 1167%
Midlands Choice $2,091 1167%
Iowa Dept Of Public Health $2,945 1643%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals