CT scan, head (with contrast)
Facility: Labette Health
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $165
- Cash Discount Price: $1,716
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Medicaid / KanCare | $102 - $165 | 57% |
| Healthy Blue | $103 - $156 | 57% |
| Uhccp | $120 - $241 | 67% |
| UnitedHealthcare | $165 - $2,132 | 92% |
| Wellcare | $165 | 92% |
| Humana | $165 | 92% |
| Blue Cross Blue Shield | $165 - $480 | 92% |
| Kansas Superior Select | $170 | 95% |
| Ambetter / Centene | $189 | 105% |
| Montgomery County | $301 | 168% |
| Multiplan | $2,083 | 1162% |
| Health Partners Of Kansas, Inc | $2,206 | 1231% |
| Choicecare (First Health Network) | $2,206 | 1231% |
Consumer Guidance & Cost Commentary
For the CPT code 70460, representing a CT scan of the head with contrast, Labette Health in Parsons, KS, lists a gross charge of $2,451.00. While the facility offers a cash median rate of $1,716.00, commercial insurance negotiated rates vary significantly across the 13 payers, ranging from a low of $102 with Medicaid/KanCare to a high of $2,206 with Health Partners of Kansas and Choicecare. It is important to note that the facility's cash price is higher than the Medicare benchmark of $179.20, which serves as the objective baseline for evaluating pricing markups. In this specific case, the cash rate exceeds the Medicare benchmark by a factor of nearly 10x, illustrating that for patients with high-deductible plans or those without insurance, paying out-of-pocket may not always be the most cost-effective option compared to utilizing an in-network plan that negotiates a rate closer to the facility's median negotiated amount of $165.00.
Patients should be aware that commercial insurance rates often include administrative overhead and contract structures that can inflate the baseline price by 20% to 40% compared to the true cost of care. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify your specific plan's allowed amount before scheduling, as some in-network contracts may still result in higher out-of-pocket costs if your deductible has not been met. To potentially reduce your financial burden, we recommend contacting the billing department directly to inquire about "self-pay" or "prompt-pay