CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Decatur County Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,556
  • Cash Discount Price: $1,556
  • vs. Medicare Baseline: 8.68x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Decatur County Hospital is $1,556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,556. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.68x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$1,556

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,556

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: $1,556 (868%)
Insurance Median: $1,556 (868%)
Cash: $1,556 (868% of Medicare)
Ins. Median: $1,556 (868% 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 868% of the Medicare baseline (a markup of 768%). 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 $622 347%
Champva -All Plans $875 488%
Everystep Hospice-All Plans $1,011 564%
Wellmark Hmo $1,042 581%
Aetna $1,050 - $1,537 586%
Tricare $1,050 586%
Wellmark Ppo - All Other Plans $1,146 640%
UnitedHealthcare $1,167 - $1,653 651%
Benefit Admin System-All Plans $1,264 705%
Humana $1,420 792%
Meritain Health-All Plans $1,420 792%
Misc Commercial-All Plans $1,420 792%
All Savers-All Plans $1,459 814%
Allied Benefit System-All Plans $1,459 814%
American Family Ins Grp-All Plans $1,459 814%
Rural Carrier Benefit Plan-All Plans $1,498 836%
Christian Healthcare -All Plans $1,556 868%
Medica-All Other Plans $1,556 868%
Golden Rule-All Plans $1,653 922%
Ntca The Rural Broadband-All Plans $1,653 922%
Cigna $1,673 934%
Medical Mutual-All Plans $1,712 955%
Farm Bureau Financial-All Other Plans $1,750 977%
Farm Bureau Property And Ca $1,750 977%
Medi Share-All Plans $1,770 988%
Uhss-All Plans $1,770 988%
Health Partners-All Plans $1,789 998%
Lewermark-All Plans $1,848 1031%
Mail Handlers Benefit-All Plans $1,906 1064%
Midlands Choice-All Plans $1,906 1064%
Priority Health-All Plans $1,945 1085%
Iowa Total Care Mcaid-All Plans $1,984 1107%
Amerigroup Mcaid-All Plans $2,042 1140%

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