CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cass County Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $688
  • Cash Discount Price: $1,125
  • vs. Medicare Baseline: 3.84x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cass County Memorial Hospital is $688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,125. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.84x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.
Cash / Self-Pay
$1,125

Average discount available for prompt cash payment at this facility.

Insurance Median
$688

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: $1,125 (628%)
Insurance Median: $688 (384%)
Cash: $1,125 (628% of Medicare)
Ins. Median: $688 (384% 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 384% of the Medicare baseline (a markup of 284%). 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
UnitedHealthcare $246 - $675 137%
Midlands Choice Medica Mcr $321 179%
Triwest - All Plans $655 366%
Aetna $675 - $1,527 377%
Amerigroup Mcr Adv - All Other Plans $675 377%
Medica Mcr Adv $675 377%
Tricare $675 377%
Va Ccn - All Plans $675 377%
Wellmark Mcr Adv $682 381%
Iowa Total Care Mcaid $688 384%
Iowa Total Care Mcr $688 384%
Molina Mcaid - All Plans $688 384%
American Hlth Mcr Adv - All Plans $695 388%
Medicaid / KanCare $695 388%
Iowa Total Care Comm - All Other Plans $742 414%
Wellmark Hmo $877 489%
Wellmark Ppo - All Other Plans $964 538%
Midlands Choice New Bus $1,045 583%
Medica Comm - All Other Plans $1,414 789%
Midlands Choice Pho (Ppo) - All Other Plans $1,446 807%
Multiplan - All Plans $1,527 852%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals