CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercy Medical Center-New Hampton

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,989
  • Cash Discount Price: $1,368
  • vs. Medicare Baseline: 18.62x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercy Medical Center-New Hampton is $1,989. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,368. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.62x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$1,368

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,989

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: $1,368 (1281%)
Insurance Median: $1,989 (1862%)
Cash: $1,368 (1281% of Medicare)
Ins. Median: $1,989 (1862% 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 1862% of the Medicare baseline (a markup of 1762%). 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 $833 780%
Aetna $842 - $1,989 788%
Medicare (plans) $850 - $940 796%
UnitedHealthcare $893 - $1,263 836%
Health Choices $1,063 995%
Medical Associates $1,063 995%
Amish Hospital Aid $1,120 1049%
Oscar $1,238 1159%
Geha $1,263 1182%
Ambetter / Centene $1,415 1325%
Iowa Total Care $1,439 1347%
Medicaid / KanCare $1,460 - $1,467 1367%
Claimdoc $1,692 1584%
Nova $1,692 1584%
1199 National Benefit Fund $1,989 1862%
Allied Benefit Systems $1,989 1862%
Asr Health Benefits $1,989 1862%
Coventry $1,989 1862%
First Health $1,989 1862%
Lucent Health $1,989 1862%
Luminare Health $1,989 1862%
Medical Mutual $1,989 1862%
Meritain $1,989 1862%
Trustmark Small Business Benefits $1,989 1862%
Webtpa $1,989 1862%
First Choice Health $2,000 1872%
Health Partners $2,023 1894%
Auxiant $2,042 1912%
Cigna $2,042 1912%
Medica $2,042 1912%
Midlands $2,042 1912%
Midlands Choice $2,042 1912%
Crime Victim Assistance $2,105 1971%
Iowa Dept Of Public Health $2,105 1971%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals