CT scan, head (no contrast)
Facility: Menorah Medical Center
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $486
- Cash Discount Price: $6,718
- vs. Medicare Baseline: 4.55x 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 $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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 455% of the Medicare baseline (a markup of 355%). 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 | $60 | 56% |
| United | $60 - $3,023 | 56% |
| Healthyblue | $61 | 57% |
| Unicare | $62 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Aetna | $62 - $3,426 | 58% |
| Home State Health Plan | $95 | 89% |
| Multiplan | $96 - $4,971 | 90% |
| Corvel Corporation | $114 - $4,367 | 107% |
| Oha Network | $119 - $3,359 | 111% |
| Cigna | $122 - $5,374 | 114% |
| Blue Cross Blue Shield | $248 - $3,023 | 232% |
| Humana | $280 - $362 | 262% |
| Ambetter / Centene | $1,250 | 1170% |
| Nhc Advantage | $1,276 | 1195% |
| Wppa Providrs Care Network | $1,344 | 1258% |
| Universal Healthcare | $2,351 | 2201% |
| Coventry | $2,701 | 2529% |
| Coventry Kc Mo | $2,754 | 2578% |
| College Park Family Care Center | $2,889 | 2705% |
| Triwest Health Alliance | $5,038 | 4717% |
| Cco, Inc. | $5,038 | 4717% |
| Focus Healthcare Mgmt, Inc | $5,038 | 4717% |
Consumer Guidance & Cost Commentary
For the CPT code 70450, representing a CT scan of the head without contrast, Menorah Medical Center in Overland Park, KS, lists a cash median price of $6,718. This amount is significantly higher than the Medicare benchmark of $106.81, reflecting the standard commercial markup structure where negotiated rates often range from 200% to 300% of the Medicare baseline. While the facility's cash rate is the highest figure among the 23 payers listed, it is important to note that commercial negotiated rates vary widely; for instance, United and Healthyblue have maximum negotiated rates of $3,023 and $61 respectively, which are substantially lower than the cash price. Patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds this amount, as paying out-of-pocket could result in lower total costs compared to the administrative overhead and higher allowed amounts associated with insurance billing.
To minimize out-of-pocket expenses, patients should proactively inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the costly claims processing cycle. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify that all ancillary services, such as specific lab tests or imaging, are covered under the facility's network agreements to avoid unexpected secondary charges. Given that over 80% of hospital bills contain errors, patients are strongly advised to request a detailed, itemized statement before finalizing payment to ensure no unbundled codes or services not rendered