CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Menorah Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $486
  • Cash Discount Price: $10,691
  • vs. Medicare Baseline: 2.71x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Menorah Medical Center is $486. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,691. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.71x the Medicare baseline. Located in 5721 West 119Th Street, Overland Park, KS.
Cash / Self-Pay
$10,691

Average discount available for prompt cash payment at this facility.

Insurance Median
$486

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $10,691 (5966%)
Insurance Median: $486 (271%)
Cash: $10,691 (5966% of Medicare)
Ins. Median: $486 (271% of 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 271% of the Medicare baseline (a markup of 171%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 - $4,811 56%
Amerigroup $101 56%
Healthyblue $103 57%
Medicaid / KanCare $104 58%
Unicare $105 59%
Aetna $105 - $5,452 59%
Multiplan $139 - $7,911 78%
Home State Health Plan $159 89%
Corvel Corporation $165 - $6,949 92%
Oha Network $172 - $5,345 96%
Cigna $204 - $8,553 114%
Blue Cross Blue Shield $323 - $4,811 180%
Humana $363 - $468 203%
Ambetter / Centene $1,988 1109%
Nhc Advantage $2,031 1133%
Wppa Providrs Care Network $2,138 1193%
Universal Healthcare $3,742 2088%
Coventry $4,298 2398%
Coventry Kc Mo $4,383 2446%
College Park Family Care Center $4,597 2565%
Cco, Inc. $8,018 4474%
Focus Healthcare Mgmt, Inc $8,018 4474%
Triwest Health Alliance $8,018 4474%

Consumer Guidance & Cost Commentary

For a CT scan of the head with contrast at Menorah Medical Center in Overland Park, KS, the cash price is $10,691, which matches the facility's median negotiated rate. This cash price is significantly higher than the state average for this procedure, indicating that commercial insurance rates in Kansas are generally lower than what patients pay out-of-pocket. While many insurance plans offer negotiated rates ranging from $101 to $8,018 depending on the carrier, these amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as it avoids the administrative costs and potential markups associated with insurance billing cycles. It is important to verify your specific plan's allowed amount before scheduling, as some insurers may negotiate rates that are higher than the cash-pay option.

Patients should be aware that commercial insurance rates can sometimes exceed cash prices due to the administrative overhead and contract structures involved in insurance billing. If you choose to use insurance, you may face balance billing if you are out-of-network, though the No Surprises Act protects you from surprise bills for emergency care and non-emergency services at in-network facilities. To minimize costs, always request a prompt-pay discount or self-pay rate before your appointment, as these can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you receive an itemized bill, review it carefully for errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5721 West 119Th Street, Overland Park, KS 66209
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals