CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercyone Dyersville Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,741
  • Cash Discount Price: $1,368
  • vs. Medicare Baseline: 16.30x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercyone Dyersville Medical Center is $1,741. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,368. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.30x the Medicare baseline. Located in 1111 3Rd Street Sw, Dyersville, IA.
Cash / Self-Pay
$1,368

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,741

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: $1,368 (1281%)
Insurance Median: $1,741 (1630%)
Cash: $1,368 (1281% of Medicare)
Ins. Median: $1,741 (1630% 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 1630% of the Medicare baseline (a markup of 1530%). 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
Health Choices $796 745%
Blue Cross Blue Shield $1,167 1093%
Medicare (plans) $1,191 - $1,300 1115%
UnitedHealthcare $1,250 - $1,474 1170%
The Alliance $1,280 1198%
Iowa Total Care $1,460 1367%
Geha $1,474 1380%
Medicaid / KanCare $1,482 - $1,489 1388%
Amish Hospital Aid $1,568 1468%
1199 National Benefit Fund $1,741 1630%
Aetna $1,741 1630%
Allied Benefit Systems $1,741 1630%
Asr Health Benefits $1,741 1630%
Christian Brother Services $1,741 1630%
Coventry $1,741 1630%
First Health $1,741 1630%
Luminare Health $1,741 1630%
Medical Mutual $1,741 1630%
Meritain $1,741 1630%
Trustmark Small Business Benefits $1,741 1630%
Webtpa $1,741 1630%
Auxiant $1,894 1773%
Cigna $1,894 1773%
Medica $1,894 1773%
Midlands $1,894 1773%
Midlands Choice $1,894 1773%
Multiplan $1,894 1773%
Ambetter / Centene $1,980 1854%
Crime Victim Assistance $2,105 1971%
Iowa Dept Of Public Health $2,105 1971%
Claimdoc $2,369 2218%
Nova $2,369 2218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 3Rd Street Sw, Dyersville, IA 52040
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals