CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Medical Center-New Hampton

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,540
Cash Discount Price: $1,747
vs. Medicare Baseline: 14.17x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Medical Center-New Hampton is $2,540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,747. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 14.17x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.

Cash / Self-Pay

$1,747

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,540

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: $1,747 (975%)

Insurance Median: $2,540 (1417%)

Cash: $1,747 (975% of Medicare)

Ins. Median: $2,540 (1417% 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 1417% of the Medicare baseline (a markup of 1317%). 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	$1,064	594%
Aetna	$1,075 - $2,540	600%
Medicare (plans)	$1,086 - $1,201	606%
UnitedHealthcare	$1,140 - $1,613	636%
Health Choices	$1,357	757%
Medical Associates	$1,357	757%
Amish Hospital Aid	$1,430	798%
Oscar	$1,581	882%
Geha	$1,613	900%
Ambetter / Centene	$1,806	1008%
Iowa Total Care	$1,837	1025%
Medicaid / KanCare	$1,864 - $1,873	1040%
Claimdoc	$2,161	1206%
Nova	$2,161	1206%
1199 National Benefit Fund	$2,540	1417%
Allied Benefit Systems	$2,540	1417%
Asr Health Benefits	$2,540	1417%
Coventry	$2,540	1417%
First Health	$2,540	1417%
Lucent Health	$2,540	1417%
Luminare Health	$2,540	1417%
Medical Mutual	$2,540	1417%
Meritain	$2,540	1417%
Trustmark Small Business Benefits	$2,540	1417%
Webtpa	$2,540	1417%
First Choice Health	$2,554	1425%
Health Partners	$2,583	1441%
Auxiant	$2,607	1455%
Cigna	$2,607	1455%
Medica	$2,607	1455%
Midlands	$2,607	1455%
Midlands Choice	$2,607	1455%
Crime Victim Assistance	$2,688	1500%
Iowa Dept Of Public Health	$2,688	1500%

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 $1,747.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Medical Center-New Hampton is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.