CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Massac Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,555
Cash Discount Price: $2,054
vs. Medicare Baseline: 8.68x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Massac Memorial Hospital is $1,555. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,054. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.68x the Medicare baseline. Located in 28 Chick Street, Po Box 850, Metropolis, IL.

Cash / Self-Pay

$2,054

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,555

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: $2,054 (1146%)

Insurance Median: $1,555 (868%)

Cash: $2,054 (1146% of Medicare)

Ins. Median: $1,555 (868% 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 868% of the Medicare baseline (a markup of 768%). 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	$683 - $2,400	381%
Blue Cross Blue Shield	$683 - $2,817	381%
Medicaid / KanCare	$683	381%
Molina Ky Mcaid	$683	381%
Healthlink Hmo	$1,282	715%
Healthlink Ppo-All Other Plans	$1,350	753%
Chesi Op Only-All Plans	$1,555	868%
Health Alliance Mcare Adv	$1,555	868%
Humana	$1,555	868%
Health Alliance Exchange	$1,907	1064%
Health Alliance-All Other Plans	$1,907	1064%
Prime Health Services-All Plans	$1,907	1064%
Cigna	$2,418	1349%
UnitedHealthcare	$2,465	1376%
Multiplan-All Plans	$2,641	1474%

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 $2,054.
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 Massac Memorial Hospital 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.