CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Boone County Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,047
Cash Discount Price: $1,861
vs. Medicare Baseline: 5.84x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Boone County Hospital is $1,047. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,861. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.84x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$1,861

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,047

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: $1,861 (1039%)

Insurance Median: $1,047 (584%)

Cash: $1,861 (1039% of Medicare)

Ins. Median: $1,047 (584% 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 584% of the Medicare baseline (a markup of 484%). 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
Tricare	$179	100%
Wellmark Hmo	$882	492%
Choice Care Mcr Adv - All Plans	$954	532%
Humana	$954 - $2,093	532%
Iowa Hlth Adv - All Plans	$954	532%
Mt Carmel Hp - All Plans	$954	532%
UnitedHealthcare	$954 - $1,365	532%
Va Ccn-All Plans	$954	532%
Amerigroup Mcr Adv - All Other Plans	$963	537%
Wellmark Ppo - All Other Plans	$969	541%
Aetna	$975 - $1,814	544%
Meridian Mcaid - All Plans	$1,047	584%
Iowa Total Care Mcaid - All Plans	$1,068	596%
Medicaid / KanCare	$1,078	602%
Healthsmart Accell Network	$1,628	908%
Medical Associates Hp-All Plans	$1,744	973%
Healthsmart Ppo - All Other Plans	$1,861	1039%
Health Alliance-All Plans	$2,093	1168%
Midlands Choice-All Plans	$2,140	1194%
Mutually Preferred-All Plans	$2,210	1233%

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 $1,861.
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 Boone County Hospital 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.