CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Madison County Health Care System

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,214
  • Cash Discount Price: $1,494
  • vs. Medicare Baseline: 11.37x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Madison County Health Care System is $1,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,494. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.37x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$1,494

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,214

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: $1,494 (1399%)
Insurance Median: $1,214 (1137%)
Cash: $1,494 (1399% of Medicare)
Ins. Median: $1,214 (1137% 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 1137% of the Medicare baseline (a markup of 1037%). 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
Aetna $803 - $1,214 752%
Medical Associates Hp - All Plans $803 752%
Medigold-All Plans $803 752%
Tricare $803 752%
UnitedHealthcare $803 - $1,681 752%
American Hp Mcr Adv-All Plans $843 789%
Iowa Total Care Mcaid-All Plans $878 822%
Molina Mcaid/Chip -All Plans $909 851%
Amerigroup Mcaid-All Plans $931 872%
Madison County Sheriff-All Plans $934 874%
Blue Cross Blue Shield $1,042 - $1,146 976%
Oscar - All Plans $1,205 1128%
Corvel Wc-All Plans $1,681 1574%
Choicecare-All Plans $1,775 1662%
First Choice-All Plans $1,775 1662%
First Health-All Plans $1,775 1662%
Integrated Hp-All Plans $1,775 1662%
Mutual Of Omaha-All Plans $1,775 1662%
Plaines Health-All Plans $1,775 1662%
Preferred Hlth Ntwork-All Plans $1,775 1662%
Principal Healthcare-All Plans $1,775 1662%
Usa Managed Care-All Plans $1,775 1662%
Medimore Employee Hp - All Plans $1,831 1714%
Midlands Choice - All Plans $1,831 1714%
Benefit Admin Of America-All Plans $1,868 1749%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals