CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cherokee Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,169
  • Cash Discount Price: $1,052
  • vs. Medicare Baseline: 6.52x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cherokee Regional Medical Center is $1,169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,052. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.52x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$1,052

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,169

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: $1,052 (587%)
Insurance Median: $1,169 (652%)
Cash: $1,052 (587% of Medicare)
Ins. Median: $1,169 (652% 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 652% of the Medicare baseline (a markup of 552%). 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
Aetna $620 - $1,169 346%
Blue Cross Blue Shield $620 - $1,169 346%
Health Partners $620 - $1,169 346%
Humana $620 - $1,169 346%
UnitedHealthcare $620 - $1,169 346%
Wellpoint $620 - $1,169 346%
Iowa Total Care $643 - $1,169 359%
Molina $643 - $1,169 359%
Admin Concepts $1,169 652%
American Republic $1,169 652%
Apw $1,169 652%
Auxiant $1,169 652%
Avera $1,169 652%
Bankers Life $1,169 652%
Champus $1,169 652%
Cigna $1,169 652%
Liability $1,169 652%
Meridian $1,169 652%
Meritain $1,169 652%
Midlands $1,169 652%
Mutual Of Omaha $1,169 652%
Occunet $1,169 652%
Physicians Mutual $1,169 652%
Private Healthcare $1,169 652%
Sanford $1,169 652%
United American $1,169 652%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals