CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Franklin General Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,042
Cash Discount Price: $1,742
vs. Medicare Baseline: 9.76x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Franklin General Hospital is $1,042. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,742. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.76x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.

Cash / Self-Pay

$1,742

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,042

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: $1,742 (1631%)

Insurance Median: $1,042 (976%)

Cash: $1,742 (1631% of Medicare)

Ins. Median: $1,042 (976% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 976% of the Medicare baseline (a markup of 876%). 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
Medical Associates Mcare	$774	725%
Mount Carmel Hp-All Plans	$774	725%
Tricare	$774	725%
UnitedHealthcare	$774 - $1,609	725%
Amerigroup Mcare	$782	732%
Wellmark Mcr Adv	$782	732%
Molina Mcare	$805	754%
Ambetter / Centene	$810 - $1,239	758%
American Hp Iowa - All Plans	$813	761%
Amerigroup Mcaid - All Other Plans	$818	766%
Molina Mcaid - All Other Plans	$822	770%
Wellmark Hmo	$1,042	976%
Wellmark Ppo - All Other Plans	$1,146	1073%
Centivo - All Plans	$1,162	1088%
Medical Ass Hosp Employer Group	$1,162	1088%
Oscar - All Plans	$1,162	1088%
Midlands Choice-All Plans	$1,355	1269%
Medical Associates Hp-All Other Plans	$1,646	1541%
Preferred Health Choices-All Plans	$1,646	1541%
Splashlight Llc-All Plans	$1,646	1541%
Aetna	$1,800 - $1,839	1685%
Multiplan-All Plans	$1,839	1722%

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 $1,742.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Franklin General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.