CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Davis County Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $922
Cash Discount Price: $1,674
vs. Medicare Baseline: 8.63x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Davis County Hospital is $922. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,674. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.63x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.

Cash / Self-Pay

$1,674

Average discount available for prompt cash payment at this facility.

Insurance Median

$922

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: $1,674 (1567%)

Insurance Median: $922 (863%)

Cash: $1,674 (1567% of Medicare)

Ins. Median: $922 (863% 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 863% of the Medicare baseline (a markup of 763%). 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
Blue Cross Blue Shield	$375 - $414	351%
Aetna	$837	784%
Choicecare Mcr Adv	$904	846%
Home State Hlth Exch - All Other Plans	$904	846%
Home State Hlth Mcr	$904	846%
Mt Carmel Hp-All Plans	$904	846%
Tricare	$904	846%
Amerigroup Mcr Adv-All Other Plans	$922	863%
American Hp Mcr Adv-All Plans	$949	888%
Home State Hlth Mcaid	$1,004	940%
Iowa Total Care Mcaid-All Plans	$1,024	959%
Molina Mcaid-All Plans	$1,040	974%
Amerigroup Mcaid	$1,045	978%
Midlands Choice - All Plans	$1,172	1097%
Preferred Hlth Choices - All Plans	$1,256	1176%
Choicecare Comm - All Other Plans	$1,590	1489%

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 $1,674.
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 Davis County 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.