CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Pocahontas Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,784
Cash Discount Price: $1,878
vs. Medicare Baseline: 9.96x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Pocahontas Community Hospital is $1,784. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,878. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.96x the Medicare baseline. Located in 606 N W 7Th Street, Pocahontas, IA.

Cash / Self-Pay

$1,878

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,784

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: $1,878 (1048%)

Insurance Median: $1,784 (996%)

Cash: $1,878 (1048% of Medicare)

Ins. Median: $1,784 (996% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 996% of the Medicare baseline (a markup of 896%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Molina	$939 - $1,878	524%
Wellpoint	$1,014 - $1,878	566%
Iowa Total Care	$1,045 - $1,878	583%
Aetna	$1,127 - $1,878	629%
Blue Cross Blue Shield	$1,202 - $1,878	671%
Health Partners	$1,773 - $1,784	989%
Humana	$1,784 - $1,878	996%
UnitedHealthcare	$1,803	1006%
Cigna	$1,822	1017%
Great West	$1,822	1017%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,878.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Pocahontas Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.