CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Decatur County Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,441
  • Cash Discount Price: $1,441
  • vs. Medicare Baseline: 13.49x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Decatur County Hospital is $1,441. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.49x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$1,441

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,441

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: $1,441 (1349%)
Insurance Median: $1,441 (1349%)
Cash: $1,441 (1349% of Medicare)
Ins. Median: $1,441 (1349% 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 1349% of the Medicare baseline (a markup of 1249%). 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 $576 539%
Champva -All Plans $810 758%
Everystep Hospice-All Plans $937 877%
Aetna $973 - $1,423 911%
Tricare $973 911%
Wellmark Hmo $1,042 976%
UnitedHealthcare $1,081 - $1,531 1012%
Wellmark Ppo - All Other Plans $1,146 1073%
Benefit Admin System-All Plans $1,171 1096%
Humana $1,315 1231%
Meritain Health-All Plans $1,315 1231%
Misc Commercial-All Plans $1,315 1231%
All Savers-All Plans $1,351 1265%
Allied Benefit System-All Plans $1,351 1265%
American Family Ins Grp-All Plans $1,351 1265%
Rural Carrier Benefit Plan-All Plans $1,387 1299%
Christian Healthcare -All Plans $1,441 1349%
Medica-All Other Plans $1,441 1349%
Golden Rule-All Plans $1,531 1433%
Ntca The Rural Broadband-All Plans $1,531 1433%
Cigna $1,549 1450%
Medical Mutual-All Plans $1,585 1484%
Farm Bureau Financial-All Other Plans $1,621 1518%
Farm Bureau Property And Ca $1,621 1518%
Medi Share-All Plans $1,639 1535%
Uhss-All Plans $1,639 1535%
Health Partners-All Plans $1,657 1551%
Lewermark-All Plans $1,711 1602%
Mail Handlers Benefit-All Plans $1,765 1652%
Midlands Choice-All Plans $1,765 1652%
Priority Health-All Plans $1,801 1686%
Iowa Total Care Mcaid-All Plans $1,837 1720%
Amerigroup Mcaid-All Plans $1,891 1770%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals