CMS Price Transparency Data

CT scan, head (no contrast)

Facility: University Of Kansas Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,211
  • Cash Discount Price: $912
  • vs. Medicare Baseline: 20.70x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at University Of Kansas Hospital is $2,211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $912. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.70x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$912

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,211

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $912 (854%)
Insurance Median: $2,211 (2070%)
Cash: $912 (854% of Medicare)
Ins. Median: $2,211 (2070% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2070% of the Medicare baseline (a markup of 1970%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicare (plans) $98 - $100 92%
Devoted [503200068] $98 92%
Lasso Healthcare [503999926] $98 92%
Humana $98 - $100 92%
Tricare $98 92%
Ku Athletics [503200094] $98 92%
Triwest [503201703] $98 92%
Aetna $98 - $137 92%
UnitedHealthcare $98 - $156 92%
Workers Comp [503999901] $98 - $4,330 92%
Blue Cross Blue Shield $101 - $3,498 95%
Allwell [503200078] $101 95%
American Health Plans [503200968] $102 95%
Oscar [503201609] $117 110%
Centurion [5032000966] $127 119%
Centivo [5032000982] $161 151%
Wellfit [503301514] $161 151%
Ambetter / Centene $166 155%
6 Degrees Health [503999050] $171 - $244 160%
Alt Wppa [5032000964] $195 - $2,761 183%
Fort Hays State Student Athletes [5032000960] $205 192%
Occunet [503999930] $205 192%
Multiplan [503200057] $264 247%
Claimdoc [503301509] $264 247%
Advanced Medical Pricing Solutions [503301513] $293 274%
Larned State Hospital [503200090] $1,345 1259%
Health Plan Inc [503999941] $2,142 2005%
Accarent Health [503999034] $2,279 2134%
Alt Carelon Behavioral Health [503200905] $2,279 2134%
Allied National [503999937] $2,735 2561%
Php [503200005] $2,735 - $3,368 2561%
Geha [503200036] $2,761 2585%
Med-Pay [503200040] $2,761 2585%
Cerner [503200038] $2,761 2585%
Inter-Americas Insurance [503999032] $2,761 2585%
Healthlink [503200007] $2,761 - $3,368 2585%
Aha-Healthcare Preferred [503200050] $3,004 2812%
First Health [5032000110] $3,004 2812%
Ascension Living Hope [503201517] $3,191 2988%
Correct Care Solutions [50311253] $3,191 2988%
Coeur Plan Services [503301517] $3,191 2988%
Consolidated Billing [50311256] $3,191 2988%
Orscheln Industries [503201608] $3,418 3200%
Alt Lucent Health Solutions [503202603] $3,498 3275%
Empire Plan/Nyship [503200705] $3,498 3275%
Alt Lineco [5032000976] $3,498 3275%
Cigna $3,646 3414%
Century Health Solutions [503200054] $3,646 3414%
Quiktrip [5032000412] $3,646 3414%
Point Comfort Underwriters [503200018] $3,646 3414%
Wppa [503200056] $3,829 3585%
Meritain Health [503200039] $3,829 3585%
Usa Managed Care [503999030] $4,102 3840%
Plan Care America [503999026] $4,102 3840%
Employers Health Network [503999025] $4,102 3840%
Sanford Health Plan [503999027] $4,102 3840%
Three Rivers Provider Network [503999029] $4,102 3840%

Consumer Guidance & Cost Commentary

For a CT scan of the head without contrast at University Of Kansas Hospital, the facility's cash price is $912.00, which is significantly lower than the median negotiated rate of $2,211.00 paid by insurance plans. While the gross charge listed is $4,558.00, patients with high-deductible plans may find paying the cash price upfront more cost-effective, as many commercial payers negotiate rates that exceed this amount. To secure the lowest possible cost, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals often offer a fee reduction of 20% to 50% for upfront payment that bypasses the administrative overhead of insurance claims processing.

The facility's pricing structure is anchored by a Medicare rate of $106.81, which serves as a benchmark for fair pricing; commercial negotiated rates typically range from 200% to 300% of this federal baseline, whereas fair pricing is generally defined as 120% to 150%. Although the provided data does not include specific Kansas or county average comparisons for this procedure, the substantial difference between the cash price and the median negotiated rate highlights the potential for significant savings. Patients should avoid accepting summary bills and instead demand a full itemized statement to identify any errors, unbundled codes, or services not rendered, ensuring they are not overcharged for the procedure.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals