CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercyone Elkader Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,549
  • Cash Discount Price: $1,997
  • vs. Medicare Baseline: 14.50x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercyone Elkader Medical Center is $1,549. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,997. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.50x the Medicare baseline. Located in 901 Davidson Street Nw, Elkader, IA.
Cash / Self-Pay
$1,997

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,549

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: $1,997 (1870%)
Insurance Median: $1,549 (1450%)
Cash: $1,997 (1870% of Medicare)
Ins. Median: $1,549 (1450% 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 1450% of the Medicare baseline (a markup of 1350%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $1,083 1014%
Aetna $1,095 - $1,549 1025%
Medicare (plans) $1,106 - $1,137 1035%
UnitedHealthcare $1,160 - $1,579 1086%
Iowa Total Care $1,310 1226%
Medicaid / KanCare $1,329 - $1,335 1244%
Amish Hospital Aid $1,456 1363%
1199 National Benefit Fund $1,549 1450%
Allied Benefit Systems $1,549 1450%
Asr Health Benefits $1,549 1450%
Christian Brother Services $1,549 1450%
Coventry $1,549 1450%
First Health $1,549 1450%
Lucent Health $1,549 1450%
Luminare Health $1,549 1450%
Medical Mutual $1,549 1450%
Meritain $1,549 1450%
Trustmark Small Business Benefits $1,549 1450%
Webtpa $1,549 1450%
Geha $1,579 1478%
Centivo $1,642 1537%
Health Choices $1,684 1577%
Medical Associates $1,684 1577%
Ambetter / Centene $1,839 1722%
Health Partners $2,025 1896%
Auxiant $2,063 1931%
Cigna $2,063 1931%
Medica $2,063 1931%
Midlands $2,063 1931%
Midlands Choice $2,063 1931%
Crime Victim Assistance $2,105 1971%
Iowa Dept Of Public Health $2,105 1971%
Claimdoc $2,200 2060%
Nova $2,200 2060%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 Davidson Street Nw, Elkader, IA 52043
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals