CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercyone Centerville Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,519
  • Cash Discount Price: $2,688
  • vs. Medicare Baseline: 14.06x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercyone Centerville Medical Center is $2,519. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,688. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 14.06x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$2,688

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,519

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: $2,688 (1500%)
Insurance Median: $2,519 (1406%)
Cash: $2,688 (1500% of Medicare)
Ins. Median: $2,519 (1406% 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 1406% of the Medicare baseline (a markup of 1306%). 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) $738 - $810 412%
Iowa Total Care $740 413%
Medicaid / KanCare $751 - $755 419%
Blue Cross Blue Shield $771 430%
Aetna $780 - $2,519 435%
UnitedHealthcare $826 - $2,688 461%
Amish Hospital Aid $1,037 579%
Ambetter / Centene $1,310 731%
Claimdoc $1,567 874%
Nova $1,567 874%
Geha $1,935 1080%
Health Choices $2,054 1146%
Medical Associates $2,054 1146%
1199 National Benefit Fund $2,519 1406%
Allied Benefit Systems $2,519 1406%
Asr Health Benefits $2,519 1406%
Christian Brother Services $2,519 1406%
Coventry $2,519 1406%
First Health $2,519 1406%
Lucent Health $2,519 1406%
Luminare Health $2,519 1406%
Medical Mutual $2,519 1406%
Meritain $2,519 1406%
Trustmark Small Business Benefits $2,519 1406%
Webtpa $2,519 1406%
Health Partners $2,586 1443%
Auxiant $2,634 1470%
Cigna $2,634 1470%
Medica $2,634 1470%
Midlands $2,634 1470%
Midlands Choice $2,634 1470%
Crime Victim Assistance $2,688 1500%
Iowa Dept Of Public Health $2,688 1500%

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