CT scan, head (with contrast)
Facility: Pratt Regional Medical Center
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $175
- Cash Discount Price: $824
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Christian Health Aid | $107 - $1,659 | 60% |
| UnitedHealthcare | $118 - $2,256 | 66% |
| Health Partners Of Kansas | $121 - $1,880 | 68% |
| Aetna | $128 - $1,991 | 71% |
| Choicecare | $142 - $2,212 | 79% |
| Celtic Insurance Company | $170 | 95% |
| Healthy Blue | $175 | 98% |
Consumer Guidance & Cost Commentary
For a CT scan of the head with contrast at Pratt Regional Medical Center in Pratt, KS, the cash price is $824.00, which is significantly lower than the facility's gross charge of $1,177.00. While commercial insurance plans like UnitedHealthcare and Aetna have negotiated rates ranging from $118 to $2,212, patients with high-deductible plans may find the cash price more affordable if their insurance allowed amount exceeds $824.00. It is important to note that commercial negotiated rates often include administrative overhead and can be higher than cash prices due to multi-layered billing structures.
To ensure you are not overcharged, always request an itemized bill before paying, as summary bills can obscure individual line items and potential errors. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act generally protects you from paying the difference between the provider's full rate and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. Additionally, ask the hospital directly about "prompt-pay" discounts, which can reduce your bill by 20% to 50% if you pay in full upfront, bypassing the costly claims processing cycle that insurance companies utilize.