CT scan, head (with contrast)
Facility: Saint John Hospital
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $169
- Cash Discount Price: $165
- vs. Medicare Baseline: 0.94x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $101 | 56% |
| UnitedHealthcare | $153 - $231 | 85% |
| Celtic | $156 - $264 | 87% |
| Comp Alliance Workers Comp | $156 | 87% |
| Healthy Blue | $156 - $174 | 87% |
| Medicare (plans) | $165 | 92% |
| Midland Care Connection | $165 | 92% |
| Tricare | $165 | 92% |
| Aetna | $165 - $239 | 92% |
| Cigna | $165 | 92% |
| Oha Networks | $168 | 94% |
| Kansas Superior Select | $169 | 94% |
| Worker Compensation | $174 | 97% |
| Blue Cross Blue Shield | $228 - $480 | 127% |
| Corizon | $231 | 129% |
| Well Path | $231 | 129% |
| Employer Direct Healthcare | $231 | 129% |
| Centurion | $248 | 138% |
| Naphcare | $256 | 143% |
Consumer Guidance & Cost Commentary
For the CPT code 70460 (CT scan, head with contrast) at Saint John Hospital in Leavenworth, KS, the cash median price is $165.00, which is significantly lower than the facility's gross charge of $5,372.00. While the hospital's negotiated rates for in-network payers range from $153 to $480, the cash price offers a potential savings for patients with high-deductible plans or those without insurance, as the cash rate is often lower than the commercial negotiated rates. It is important to note that commercial rates can vary widely by payer; for instance, Medicaid/KanCare has a single plan paying $101, while Blue Cross Blue Shield has three plans with rates up to $480. Patients should verify their specific plan's allowed amount before scheduling, as assuming that in-network coverage automatically provides the lowest possible price can lead to unexpected costs if their specific contract rate exceeds the cash price.
To ensure you are not overcharged, it is recommended to request an itemized billing audit if you receive a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, if you are an out-of-network patient receiving care at this in-network facility, you may be protected from balance billing for emergency services and non-emergency services at in-network hospitals under the No Surprises Act, though you should still dispute any unexpected bills in writing rather than paying immediately. Finally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid