CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Franklin General Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,042
Cash Discount Price: $2,115
vs. Medicare Baseline: 5.81x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Franklin General Hospital is $1,042. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,115. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.81x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.

Cash / Self-Pay

$2,115

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

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $2,115 (1180%)

Insurance Median: $1,042 (581%)

Cash: $2,115 (1180% of Medicare)

Ins. Median: $1,042 (581% 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 581% of the Medicare baseline (a markup of 481%). 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	$940	525%
Mount Carmel Hp-All Plans	$940	525%
Tricare	$940	525%
UnitedHealthcare	$940 - $1,953	525%
Amerigroup Mcare	$949	530%
Wellmark Mcr Adv	$949	530%
Molina Mcare	$978	546%
Ambetter / Centene	$983 - $1,504	549%
American Hp Iowa - All Plans	$987	551%
Amerigroup Mcaid - All Other Plans	$992	554%
Molina Mcaid - All Other Plans	$997	556%
Wellmark Hmo	$1,042	581%
Wellmark Ppo - All Other Plans	$1,146	640%
Centivo - All Plans	$1,410	787%
Medical Ass Hosp Employer Group	$1,410	787%
Oscar - All Plans	$1,410	787%
Midlands Choice-All Plans	$1,645	918%
Medical Associates Hp-All Other Plans	$1,998	1115%
Preferred Health Choices-All Plans	$1,998	1115%
Splashlight Llc-All Plans	$1,998	1115%
Aetna	$2,186 - $2,232	1220%
Multiplan-All Plans	$2,232	1246%

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 $2,115.
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 Franklin General 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.