CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jones Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $217
Cash Discount Price: $379
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jones Regional Medical Center is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $379. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.21x the Medicare baseline. Located in 1795 Highway 64 East, Anamosa, IA.

Cash / Self-Pay

$379

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $379 (211%)

Insurance Median: $217 (121%)

Cash: $379 (211% of Medicare)

Ins. Median: $217 (121% 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.

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
Aetna	$49 - $2,672	27%
Amerivantage	$49 - $1,216	27%
Humana	$49 - $1,217	27%
Blue Cross Blue Shield	$50 - $1,514	28%
Iowa Health	$52 - $1,216	29%
UnitedHealthcare	$52 - $2,969	29%
Wellmark Uph Self-Funded	$102 - $1,514	57%
Cigna	$105 - $2,441	59%
Health Partners Open Network	$110 - $1,485	61%
Amerigroup	$1,307	729%
Iowa Total Care	$1,307	729%
Medica Exchange Inspire	$2,352	1313%
Medica Exchange Insure	$2,634	1470%

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 $379.
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 Jones Regional Medical Center 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.