CT scan, head (with contrast)
Facility: Providence Medical Center
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $174
- Cash Discount Price: $165
- vs. Medicare Baseline: 0.97x 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 | $101 | 56% |
| UnitedHealthcare | $153 - $398 | 85% |
| Comp Alliance - Fka Compresults Worker Compensation | $156 | 87% |
| Healthy Blue | $156 - $174 | 87% |
| Celtic | $156 - $264 | 87% |
| Tricare | $165 | 92% |
| Medicare (plans) | $165 | 92% |
| Cigna | $165 | 92% |
| Aetna | $165 - $309 | 92% |
| Midland Care Connection | $165 | 92% |
| Oha Networks | $168 | 94% |
| Kansas Superior Select | $174 | 97% |
| Worker Compensation | $174 | 97% |
| Corizon | $215 | 120% |
| Employer Direct Healthcare | $231 | 129% |
| Well Path Prison | $231 | 129% |
| Centurion | $248 | 138% |
| Naphcare | $256 | 143% |
| Blue Cross Blue Shield | $264 - $428 | 147% |
| First Health | $750 | 419% |
Consumer Guidance & Cost Commentary
For the CPT code 70460 (CT scan, head with contrast) at Providence Medical Center in Kansas City, KS, the facility's cash median rate is $165.00, which aligns closely with the state average of $165.00. While the facility's gross charge is $5,372.00, commercial payers negotiate rates that generally range from $101 to $428, with the median negotiated amount sitting at $174.00. This suggests that for patients with high-deductible plans, paying the cash price of $165.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash rate. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative fees associated with insurance claims.
When evaluating the cost relative to Medicare, the facility's cash rate of $165.00 is consistent with the Medicare benchmark of $179.20, indicating a pricing structure that does not significantly deviate from the federal cost baseline. Although the facility is a voluntary non-profit church-owned hospital, the variation in negotiated rates across 20 different payers highlights that in-network status does not guarantee the lowest possible price. To ensure you are not overpaying, it is advisable to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Always verify your deductible status and confirm that the facility has applied the correct cash or prompt-pay discount prior to scheduling your