CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $129
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Southeast Iowa Regional Medical Center is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.72x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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%)
Insurance Median: $129 (72%)
Ins. Median: $129 (72% 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
American Healthplan Of Iowa - Midlevel $41 23%
Medicaid / KanCare $46 - $47 26%
Humana $52 29%
Aetna $54 30%
American Healthplan Of Iowa - Md $55 31%
Plain Church $93 - $1,043 52%
Blue Cross Blue Shield $102 - $967 57%
UnitedHealthcare $104 58%
Midlands Choice $113 - $1,444 63%
Absolute Solutions $129 72%
First Agency $129 72%
Multiplan $129 72%
Henderson County $136 76%
Wellpoint (Amerigroup) $899 502%
Immugrun $1,011 564%
Brighton Amish Church $1,043 582%
6 Degree $1,284 717%
Geha $1,493 833%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals