CT scan, head (with and without contrast)
Facility: Menorah Medical Center
Billing Code: 70470 (CPT)
- CPT Billing Code: 70470
- Insurance Median: $577
- Cash Discount Price: $11,822
- vs. Medicare Baseline: 3.22x 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 322% of the Medicare baseline (a markup of 222%). 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 - $5,320 | 56% |
| Amerigroup | $101 | 56% |
| Healthyblue | $103 | 57% |
| Medicaid / KanCare | $104 | 58% |
| Aetna | $105 - $6,029 | 59% |
| Unicare | $105 | 59% |
| Home State Health Plan | $159 | 89% |
| Multiplan | $167 - $8,748 | 93% |
| Corvel Corporation | $198 - $7,684 | 110% |
| Cigna | $204 - $9,458 | 114% |
| Oha Network | $207 - $5,911 | 116% |
| Blue Cross Blue Shield | $339 - $5,320 | 189% |
| Humana | $447 - $577 | 249% |
| Ambetter / Centene | $2,199 | 1227% |
| Nhc Advantage | $2,246 | 1253% |
| Wppa Providrs Care Network | $2,364 | 1319% |
| Universal Healthcare | $4,138 | 2309% |
| Coventry | $4,752 | 2652% |
| Coventry Kc Mo | $4,847 | 2705% |
| College Park Family Care Center | $5,084 | 2837% |
| Focus Healthcare Mgmt, Inc | $8,867 | 4948% |
| Cco, Inc. | $8,867 | 4948% |
| Triwest Health Alliance | $8,867 | 4948% |
Consumer Guidance & Cost Commentary
For the CPT code 70470, representing a CT scan of the head with and without contrast, Menorah Medical Center in Overland Park, KS, lists a cash median price of $11,822. This cash rate is significantly higher than the state average, which is 3.2 times the Medicare benchmark amount of $179.20. While many commercial payers have negotiated rates ranging from $101 to $9,458 depending on the plan, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance claims, particularly for those with high-deductible plans where the negotiated rate might exceed the cash price. It is crucial to verify "self-pay" or "prompt-pay" discounts directly with the facility before scheduling, as these upfront payment incentives can reduce the total cost by bypassing administrative fees and insurance processing delays.
The facility's pricing structure reflects a proprietary ownership model with 23 distinct payer plans, resulting in a wide variance in negotiated amounts across the market. While some plans, such as those with United or Amerigroup, show a low end of $101, others like Cigna or Multiplan have negotiated rates reaching up to $9,458 and $8,748 respectively. Patients should avoid accepting summary bills as final invoices and instead request a detailed, itemized statement to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. Furthermore, if a patient receives care from out-of-network providers at this in-network facility, they may be subject to balance billing for the difference between the allowed amount and the full charge; however, the