CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercyone Centerville Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,972
  • Cash Discount Price: $2,105
  • vs. Medicare Baseline: 18.46x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercyone Centerville Medical Center is $1,972. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,105. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.46x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$2,105

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,972

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: $2,105 (1971%)
Insurance Median: $1,972 (1846%)
Cash: $2,105 (1971% of Medicare)
Ins. Median: $1,972 (1846% 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 1846% of the Medicare baseline (a markup of 1746%). 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
Medicare (plans) $578 - $634 541%
Iowa Total Care $580 543%
Medicaid / KanCare $588 - $591 551%
Blue Cross Blue Shield $604 565%
Aetna $610 - $1,972 571%
UnitedHealthcare $647 - $2,105 606%
Amish Hospital Aid $812 760%
Ambetter / Centene $1,026 961%
Claimdoc $1,227 1149%
Nova $1,227 1149%
Geha $1,516 1419%
Health Choices $1,608 1505%
Medical Associates $1,608 1505%
1199 National Benefit Fund $1,972 1846%
Allied Benefit Systems $1,972 1846%
Asr Health Benefits $1,972 1846%
Christian Brother Services $1,972 1846%
Coventry $1,972 1846%
First Health $1,972 1846%
Lucent Health $1,972 1846%
Luminare Health $1,972 1846%
Medical Mutual $1,972 1846%
Meritain $1,972 1846%
Trustmark Small Business Benefits $1,972 1846%
Webtpa $1,972 1846%
Health Partners $2,025 1896%
Auxiant $2,063 1931%
Cigna $2,063 1931%
Medica $2,063 1931%
Midlands $2,063 1931%
Midlands Choice $2,063 1931%
Crime Victim Assistance $2,105 1971%
Iowa Dept Of Public Health $2,105 1971%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals