CMS Price Transparency Data

CT scan, head (no contrast)

Facility: UW Health

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $107
Cash Discount Price: $492
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at UW Health is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $492. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$492

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $492 (461%)

Insurance Median: $107 (100%)

Cash: $492 (461% of Medicare)

Ins. Median: $107 (100% 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.

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
Aetna	$53 - $1,428	50%
Blue Cross Blue Shield	$53 - $879	50%
Humana	$53 - $107	50%
Medicare (plans)	$53 - $117	50%
Mychoice Wi Medical Adv	$53 - $107	50%
UnitedHealthcare	$53 - $1,520	50%
Quartz Fully Insured	$686	642%
Ecoh	$1,003 - $1,557	939%
Hfn	$1,003 - $1,557	939%
Alliance Premier Network	$1,079	1010%
Quartz Aso	$1,080	1011%
The Alliance	$1,390	1301%
Wps Ppo	$1,529	1432%
Cigna	$1,578	1477%
Beloit Healt System	$1,785	1671%
Mercycare	$1,846	1728%
First Health/Coventry	$1,945	1821%
Health Payment Systems	$2,308	2161%
Healthsmart	$2,308	2161%
Sheboygan Employers Health Network	$2,462	2305%
Multiplan	$2,751	2576%

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 $492.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UW Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.