CT scan, head (no contrast)
Facility: Nmc Health
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $949
- Cash Discount Price: $1,107
- vs. Medicare Baseline: 8.88x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 888% of the Medicare baseline (a markup of 788%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bluestem Pace | $101 | 95% |
| Leading Age | $162 | 152% |
| Medicaid / KanCare | $162 | 152% |
| Aetna | $316 - $1,303 | 296% |
| Blue Cross Blue Shield | $480 | 449% |
| Wppa | $870 | 815% |
| Occunet | $949 | 888% |
| Samaritan Ministries International | $1,028 | 962% |
| Medincrease Health Plan | $1,028 | 962% |
| Prime Health Services | $1,186 | 1110% |
| UnitedHealthcare | $1,423 | 1332% |
| Cigna | $1,502 | 1406% |
Consumer Guidance & Cost Commentary
For the CPT code 70450 (CT scan, head without contrast), Nmc Health in Newton, KS, lists a cash median price of $1,107.00, which is lower than the facility's gross charge of $1,581.00. While the facility's negotiated rates with insurance plans range from $101 for Bluestem Pace up to $1,502 for Cigna, patients with high-deductible plans might find the cash price more affordable if their insurance allowed amount exceeds $1,107.00. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the cash price, so patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are receiving the best possible rate.
This service is priced at 8.9% above the Medicare benchmark amount of $106.81, illustrating the typical markup found in commercial healthcare pricing. Although the data does not provide specific state or county average comparisons for this specific procedure, the facility's cash rate remains a key reference point for consumers. To avoid unexpected costs, patients should request a full itemized bill rather than accepting a summary invoice, as hospitals may bundle charges or include services not rendered. Furthermore, under the No Surprises Act, patients are protected from balance billing for out-of-network providers at in-network facilities, and any surprise bills should be disputed in writing with the insurer to ensure compliance with federal protections.