CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Lmh

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $105
  • Cash Discount Price: $669
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Lmh is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $669. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 325 Maine Street, Lawrence, KS.
Cash / Self-Pay
$669

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $669 (626%)
Insurance Median: $105 (98%)
Cash: $669 (626% of Medicare)
Ins. Median: $105 (98% 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.

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
Humana $39 - $105 37%
UnitedHealthcare $39 - $1,778 37%
Medicare (plans) $39 - $105 37%
Cigna $39 - $1,788 37%
Blue Cross Blue Shield $46 - $1,732 43%
Haskell Indian Health Services $46 - $105 43%
Ambetter / Centene $47 - $163 44%
Allwell $47 - $107 44%
Aetna $1,835 - $2,222 1718%
Non Contracted $2,142 2005%
First Health $2,490 2331%

Consumer Guidance & Cost Commentary

For this CT scan of the head (no contrast) at Lmh in Lawrence, KS, the facility's cash price of $669.00 is significantly lower than the gross charge of $2,677.00 and the Medicare benchmark of $106.81. While the cash rate is higher than the Medicare amount, it remains well below the negotiated rates paid by major insurers like UnitedHealthcare (up to $1,778) and Cigna (up to $1,788). Patients with high-deductible plans or those without insurance may find paying the cash price directly more cost-effective than relying on insurance, which often results in higher allowed amounts due to administrative overhead and contract structures. It is important to note that the facility, owned by the local government, lists a cash median of $669.00, which serves as a strong baseline for self-pay patients compared to the wide range of negotiated rates seen across different payers.

To minimize unexpected costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the final bill by 20% to 50%. If you do use insurance, be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur from out-of-network ancillary services like specific lab tests. If you receive a bill that seems incorrect or includes charges for services not rendered, request a formal itemized audit to identify errors such as code unbundling or duplicate billing. Always verify your deductible status before proceeding, as paying the negotiated rate

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Maine Street, Lawrence, KS 66044
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals