CMS Price Transparency Data

CT scan, head (with contrast)

Facility: University Of Kansas Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $2,211
  • Cash Discount Price: $912
  • vs. Medicare Baseline: 12.34x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with 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 $179.2, this hospital’s rate is 12.34x 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
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $912 (509%)
Insurance Median: $2,211 (1234%)
Cash: $912 (509% of Medicare)
Ins. Median: $2,211 (1234% 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 1234% of the Medicare baseline (a markup of 1134%). 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
UnitedHealthcare $164 - $262 92%
Humana $164 - $167 92%
Lasso Healthcare [503999926] $164 92%
Aetna $164 - $229 92%
Tricare $164 92%
Triwest [503201703] $164 92%
Workers Comp [503999901] $164 - $4,330 92%
Devoted [503200068] $164 92%
Ku Athletics [503200094] $164 92%
Medicare (plans) $164 - $167 92%
Allwell [503200078] $169 94%
Blue Cross Blue Shield $169 - $3,498 94%
American Health Plans [503200968] $172 96%
Oscar [503201609] $197 110%
Centurion [5032000966] $213 119%
Wellfit [503301514] $270 151%
Centivo [5032000982] $270 151%
Ambetter / Centene $278 155%
6 Degrees Health [503999050] $287 - $409 160%
Alt Wppa [5032000964] $328 - $2,761 183%
Occunet [503999930] $344 192%
Fort Hays State Student Athletes [5032000960] $344 192%
Claimdoc [503301509] $442 247%
Multiplan [503200057] $442 247%
Advanced Medical Pricing Solutions [503301513] $491 274%
Larned State Hospital [503200090] $1,345 751%
Health Plan Inc [503999941] $2,142 1195%
Accarent Health [503999034] $2,279 1272%
Alt Carelon Behavioral Health [503200905] $2,279 1272%
Allied National [503999937] $2,735 1526%
Php [503200005] $2,735 - $3,368 1526%
Med-Pay [503200040] $2,761 1541%
Geha [503200036] $2,761 1541%
Cerner [503200038] $2,761 1541%
Healthlink [503200007] $2,761 - $3,368 1541%
Inter-Americas Insurance [503999032] $2,761 1541%
Aha-Healthcare Preferred [503200050] $3,004 1676%
First Health [5032000110] $3,004 1676%
Consolidated Billing [50311256] $3,191 1781%
Correct Care Solutions [50311253] $3,191 1781%
Coeur Plan Services [503301517] $3,191 1781%
Ascension Living Hope [503201517] $3,191 1781%
Orscheln Industries [503201608] $3,418 1907%
Alt Lineco [5032000976] $3,498 1952%
Alt Lucent Health Solutions [503202603] $3,498 1952%
Empire Plan/Nyship [503200705] $3,498 1952%
Quiktrip [5032000412] $3,646 2035%
Century Health Solutions [503200054] $3,646 2035%
Cigna $3,646 2035%
Point Comfort Underwriters [503200018] $3,646 2035%
Meritain Health [503200039] $3,829 2137%
Wppa [503200056] $3,829 2137%
Plan Care America [503999026] $4,102 2289%
Employers Health Network [503999025] $4,102 2289%
Sanford Health Plan [503999027] $4,102 2289%
Usa Managed Care [503999030] $4,102 2289%
Three Rivers Provider Network [503999029] $4,102 2289%

Consumer Guidance & Cost Commentary

For a CT scan of the head with contrast at University Of Kansas Hospital, the cash price is $912, which is significantly lower than the facility's gross charge of $4,558. This cash rate is notably higher than the state of Kansas average for this procedure, suggesting that paying out-of-pocket may not be the most cost-effective option for patients with high-deductible plans. While the cash price offers immediate savings compared to the hospital's list price, many commercial payers negotiate rates that can exceed $2,000, meaning insurance coverage might result in a lower net cost depending on your specific plan's deductible and out-of-pocket maximum. Patients should verify their in-network allowed amounts before scheduling, as some insurers may pay significantly less than the cash price, particularly for services covered under specific benefit tiers.

The facility's negotiated rates vary widely across different insurance carriers, ranging from a low of $164 to a high of $4,102, with a median negotiated amount of $2,211. This wide disparity highlights the importance of checking your specific plan's coverage details, as some payers like Workers Comp or certain self-pay entities may have vastly different payment structures. Additionally, the facility offers a prompt-pay discount for patients who settle their bill upfront, which can further reduce the final amount owed. To ensure you are receiving the best possible rate, it is advisable to contact the hospital directly to confirm if they offer a self-pay discount or a prompt-pay reduction before proceeding with the service.

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