CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercyone Oelwein Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,470
  • Cash Discount Price: $1,747
  • vs. Medicare Baseline: 13.78x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercyone Oelwein Medical Center is $2,470. 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 13.78x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$1,747

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,470

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: $2,470 (1378%)
Cash: $1,747 (975% of Medicare)
Ins. Median: $2,470 (1378% 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 1378% of the Medicare baseline (a markup of 1278%). 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
Medicare (plans) $1,027 - $1,145 573%
Iowa Total Care $1,042 581%
Medicaid / KanCare $1,057 - $1,062 590%
Blue Cross Blue Shield $1,091 609%
UnitedHealthcare $1,168 - $1,908 652%
Aetna $1,267 - $2,470 707%
Amish Hospital Aid $1,466 818%
Centivo $1,653 922%
Ambetter / Centene $1,851 1033%
Geha $1,908 1065%
Health Choices $1,978 1104%
Medical Associates $1,978 1104%
Claimdoc $2,215 1236%
Nova $2,215 1236%
1199 National Benefit Fund $2,470 1378%
Allied Benefit Systems $2,470 1378%
Asr Health Benefits $2,470 1378%
Christian Brother Services $2,470 1378%
Coventry $2,470 1378%
First Health $2,470 1378%
Lucent Health $2,470 1378%
Luminare Health $2,470 1378%
Medical Mutual $2,470 1378%
Meritain $2,470 1378%
Trustmark Small Business Benefits $2,470 1378%
Webtpa $2,470 1378%
Health Partners $2,586 1443%
Multiplan $2,607 1455%
Auxiant $2,634 1470%
Cigna $2,634 1470%
Medica $2,634 1470%
Midlands $2,634 1470%
Midlands Choice $2,634 1470%
Crime Victim Assistance $2,688 1500%
Iowa Dept Of Public Health $2,688 1500%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Eighth Avenue Se, Oelwein, IA 50662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals