CT scan, head (no contrast)
Facility: Pratt Regional Medical Center
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $154
- Cash Discount Price: $735
- vs. Medicare Baseline: 1.44x 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 $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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Celtic Insurance Company | $102 | 95% |
| Healthy Blue | $105 | 98% |
| UnitedHealthcare | $112 - $1,984 | 105% |
| Christian Health Aid | $116 - $1,459 | 109% |
| Health Partners Of Kansas | $131 - $1,653 | 123% |
| Aetna | $139 - $1,751 | 130% |
| Choicecare | $154 - $1,945 | 144% |
Consumer Guidance & Cost Commentary
For a CT scan of the head without contrast at Pratt Regional Medical Center in Pratt, KS, the facility's cash median price is $735.00, which is notably lower than the negotiated rates paid by insurance companies. While the gross charge is $1,050.00, commercial payers such as UnitedHealthcare and Aetna have negotiated rates ranging from $112 to $1,945 depending on the specific plan. Because the cash price is significantly lower than the average negotiated amount, patients with high-deductible plans may save money by paying out-of-pocket upfront, provided they qualify for the facility's prompt-pay discount. It is important to request self-pay or prompt-pay rates before scheduling to avoid automatic claims submission, which could void any cash discount and trigger balance billing if you are out of network.
This procedure's pricing is evaluated against the Medicare benchmark of $106.81, showing a markup of 1.4 times the Medicare rate. The facility's negotiated rate of $154.00 represents a fair pricing point relative to the Medicare baseline, though individual commercial plans may pay higher amounts due to administrative costs and contract dynamics. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, unexpected ancillary services or out-of-network providers could still result in additional charges. To ensure transparency, always request a full itemized bill before paying, as summary invoices may obscure unbundled codes or services not rendered, and verify your deductible status to understand your financial responsibility.