CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercyone Clinton Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $111
  • Cash Discount Price: $1,633
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercyone Clinton Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,633. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 1410 North 4Th Street, Clinton, IA.
Cash / Self-Pay
$1,633

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $1,633 (1529%)
Insurance Median: $111 (104%)
Cash: $1,633 (1529% of Medicare)
Ins. Median: $111 (104% 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.

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
Iowa Total Care $96 90%
Medicaid / KanCare $97 - $98 91%
Bcn Domestic $107 100%
Blue Benefit Administrators Of Massachusetts $107 100%
Blue Care Network $107 100%
Blue Cross Blue Shield $107 - $110 100%
Blue Distinction Transplant $107 100%
Blue Shield - Ca $107 100%
Blue Shield - Id (Regence) $107 100%
Blue Shield - Ny Highmark Northeastern $107 100%
Blue Shield - Ny Highmark Western $107 100%
Blue Shield - Pa (Highmark) $107 100%
Blue Shield - Wa (Regence) $107 100%
Kaiser Domestic $107 100%
Pre-Employment $107 100%
Wc Domestic $107 100%
Aetna $109 - $2,199 102%
Medicare (plans) $109 - $114 102%
UnitedHealthcare $111 - $2,513 104%
Amish Hospital Aid $148 139%
Oscar $152 142%
Ambetter / Centene $187 175%
Claimdoc $224 210%
Nova $224 210%
Geha $240 225%
Health Choices $711 666%
Medical Associates $711 666%
Preferred Health Choice $726 680%
The Alliance $1,524 1427%
1199 National Benefit Fund $2,199 2059%
Allied Benefit Systems $2,199 2059%
Asr Health Benefits $2,199 2059%
Christian Brother Services $2,199 2059%
Coventry $2,199 2059%
First Health $2,199 2059%
Lucent Health $2,199 2059%
Luminare Health $2,199 2059%
Medical Mutual $2,199 2059%
Meritain $2,199 2059%
Trustmark Small Business Benefits $2,199 2059%
Webtpa $2,199 2059%
Health Partners $2,204 2063%
Auxiant $2,262 2118%
Cigna $2,262 2118%
Medica $2,262 2118%
Midlands $2,262 2118%
Midlands Choice $2,262 2118%
Multiplan $2,262 2118%
Qualcare $2,262 2118%
Usa Managed Care $2,387 2235%
Crime Victim Assistance $2,513 2353%
Iowa Dept Of Public Health $2,513 2353%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals