CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: UW Health

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $887
Cash Discount Price: $617
vs. Medicare Baseline: 4.95x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at UW Health is $887. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $617. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.95x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$617

Average discount available for prompt cash payment at this facility.

Insurance Median

$887

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: $617 (344%)

Insurance Median: $887 (495%)

Cash: $617 (344% of Medicare)

Ins. Median: $887 (495% 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 495% of the Medicare baseline (a markup of 395%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$179 - $1,791	100%
Blue Cross Blue Shield	$179 - $1,102	100%
Humana	$179	100%
Medicare (plans)	$179 - $197	100%
Mychoice Wi Medical Adv	$179	100%
UnitedHealthcare	$179 - $1,906	100%
Quartz Fully Insured	$861	480%
Ecoh	$1,258 - $1,953	702%
Hfn	$1,258 - $1,953	702%
Alliance Premier Network	$1,354	756%
Quartz Aso	$1,355	756%
The Alliance	$1,743	973%
Wps Ppo	$1,918	1070%
Cigna	$1,980	1105%
Beloit Healt System	$2,238	1249%
Mercycare	$2,315	1292%
First Health/Coventry	$2,439	1361%
Health Payment Systems	$2,894	1615%
Healthsmart	$2,894	1615%
Sheboygan Employers Health Network	$3,087	1723%
Multiplan	$3,450	1925%

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 $617.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.