CT scan, head (with and without contrast)
Facility: Overland Park Reg Med Ctr
Billing Code: 70470 (CPT)
- CPT Billing Code: 70470
- Insurance Median: $2,655
- Cash Discount Price: $12,565
- vs. Medicare Baseline: 14.82x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1482% of the Medicare baseline (a markup of 1382%). 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 |
|---|---|---|
| Amerigroup | $101 | 56% |
| United | $101 - $5,974 | 56% |
| Healthyblue | $103 | 57% |
| Medicaid / KanCare | $104 | 58% |
| Aetna | $105 - $6,771 | 59% |
| Unicare | $105 | 59% |
| Home State Health Plan | $159 | 89% |
| Multiplan | $167 - $9,825 | 93% |
| Corvel Corporation | $198 - $8,630 | 110% |
| Cigna | $204 - $303 | 114% |
| Oha Network | $207 - $6,638 | 116% |
| Blue Cross Blue Shield | $339 - $5,709 | 189% |
| Humana | $447 - $577 | 249% |
| Ambetter / Centene | $2,205 - $2,469 | 1230% |
| Nhc Advantage | $2,252 - $2,523 | 1257% |
| Wppa Providrs Care Network | $2,371 - $2,655 | 1323% |
| Universal Healthcare | $4,149 - $4,647 | 2315% |
| Coventry | $4,765 - $5,337 | 2659% |
| Coventry Kc Mo | $4,860 - $5,443 | 2712% |
| College Park Family Care Center | $5,097 - $5,709 | 2844% |
| Cco, Inc. | $8,890 - $9,957 | 4961% |
| Focus Healthcare Mgmt, Inc | $8,890 - $9,957 | 4961% |
| Triwest Health Alliance | $8,890 - $9,957 | 4961% |
Consumer Guidance & Cost Commentary
For the CPT code 70470 (CT scan, head with and without contrast), the Overland Park Reg Med Ctr in Kansas lists a cash price of $12,565.00, which matches the facility's cash median. This cash rate is significantly higher than the state average, reflecting the facility's proprietary ownership and location in Overland Park (ZIP 66215). While commercial payers negotiate rates ranging from $101 to $9,957 depending on the plan, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance claims if the negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance billing cycles.
When using insurance, patients should verify their deductible status before scheduling, as high negotiated rates may result in out-of-pocket expenses if the deductible has not been met. Although the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to request a full itemized CPT-coded bill before paying any invoice to ensure no errors, double-billing, or unbundled charges are present. Since over 80% of hospital bills contain errors, accepting a summary bill as the final invoice can lead to unexpected costs; patients should dispute any discrepancies in writing to the billing supervisor rather than settling verbally. Ultimately, comparing the facility's rates against the Medicare benchmark of $179.20 reveals