CT scan, head (with contrast)
Facility: Overland Park Reg Med Ctr
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $1,467
- Cash Discount Price: $6,944
- vs. Medicare Baseline: 8.19x 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 819% of the Medicare baseline (a markup of 719%). 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 |
|---|---|---|
| United | $101 - $3,302 | 56% |
| Amerigroup | $101 | 56% |
| Healthyblue | $103 | 57% |
| Medicaid / KanCare | $104 | 58% |
| Unicare | $105 | 59% |
| Aetna | $105 - $3,742 | 59% |
| Multiplan | $139 - $5,430 | 78% |
| Home State Health Plan | $159 | 89% |
| Corvel Corporation | $165 - $4,769 | 92% |
| Oha Network | $172 - $3,669 | 96% |
| Cigna | $204 - $303 | 114% |
| Blue Cross Blue Shield | $323 - $3,155 | 180% |
| Humana | $363 - $468 | 203% |
| Ambetter / Centene | $1,219 - $1,365 | 680% |
| Nhc Advantage | $1,245 - $1,394 | 695% |
| Wppa Providrs Care Network | $1,310 - $1,467 | 731% |
| Universal Healthcare | $2,293 - $2,568 | 1280% |
| Coventry | $2,634 - $2,950 | 1470% |
| Coventry Kc Mo | $2,686 - $3,008 | 1499% |
| College Park Family Care Center | $2,817 - $3,155 | 1572% |
| Focus Healthcare Mgmt, Inc | $4,913 - $5,503 | 2742% |
| Cco, Inc. | $4,913 - $5,503 | 2742% |
| Triwest Health Alliance | $4,913 - $5,503 | 2742% |
Consumer Guidance & Cost Commentary
For a CT scan of the head with contrast at Overland Park Reg Med Ctr, the cash price is $6,944, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $179.20, reflecting a markup of 8.2 times the federal baseline. While many commercial payers negotiate rates ranging from $101 to $5,503 depending on the plan, these negotiated amounts often exceed the cash price. For patients with high-deductible plans, paying the cash rate upfront can sometimes be more cost-effective than relying on insurance, as the insurer's allowed amount may surpass 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 within a short window.
The facility is located in Overland Park, KS (ZIP 66215), and while specific county or state average comparisons are not provided in this dataset, the wide variance in payer rates—from as low as $101 for Amerigroup to $5,503 for Focus Healthcare Management—highlights the importance of verifying your specific plan's allowed amount before scheduling. Patients should avoid accepting summary bills and instead request a detailed, itemized statement to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. If you receive a balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, which prohibits surprise billing for emergency care and non-emergency services at in-network facilities. Always dispute any unexpected charges in writing