CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Lukes Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $166
  • Cash Discount Price: $445
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Lukes Regional Medical Center is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $445. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.93x the Medicare baseline. Located in 2720 Stone Park Boulevard, Sioux City, IA.
Cash / Self-Pay
$445

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $445 (248%)
Insurance Median: $166 (93%)
Cash: $445 (248% of Medicare)
Ins. Median: $166 (93% 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
Nebraska Total Care $49 - $274 27%
Aetna $56 - $528 31%
Blue Cross Blue Shield $57 - $399 32%
Molina $57 - $177 32%
Amerivantage $58 - $182 32%
Humana $58 - $182 32%
UnitedHealthcare $58 - $475 32%
Avera Health Plan $83 - $685 46%
Wellmark Uph Self-Funded $115 - $339 64%
Cigna $118 - $663 66%
Health Partners Open Network $123 - $377 69%
Amerigroup $158 88%
Iowa Total Care $158 88%
Medica Exchange Inspire $544 304%
Medica Exchange Insure $609 340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2720 Stone Park Boulevard, Sioux City, IA 51104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals