CMS Price Transparency Data

CT scan, head (with contrast)

Facility: UW Health

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $926
Cash Discount Price: $645
vs. Medicare Baseline: 5.17x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at UW Health is $926. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $645. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.17x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$645

Average discount available for prompt cash payment at this facility.

Insurance Median

$926

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: $645 (360%)

Insurance Median: $926 (517%)

Cash: $645 (360% of Medicare)

Ins. Median: $926 (517% 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 517% of the Medicare baseline (a markup of 417%). 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 - $1,870	100%
Blue Cross Blue Shield	$179 - $1,151	100%
Humana	$179	100%
Medicare (plans)	$179 - $197	100%
Mychoice Wi Medical Adv	$179	100%
UnitedHealthcare	$179 - $1,991	100%
Quartz Fully Insured	$899	502%
Ecoh	$1,314 - $2,039	733%
Hfn	$1,314 - $2,039	733%
Alliance Premier Network	$1,414	789%
Quartz Aso	$1,415	790%
The Alliance	$1,820	1016%
Wps Ppo	$2,003	1118%
Cigna	$2,067	1153%
Beloit Healt System	$2,337	1304%
Mercycare	$2,418	1349%
First Health/Coventry	$2,547	1421%
Health Payment Systems	$3,022	1686%
Healthsmart	$3,022	1686%
Sheboygan Employers Health Network	$3,224	1799%
Multiplan	$3,603	2011%

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 $645.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.