CT scan, head (with contrast)
Facility: Kansas Heart Hospital
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $1,665
- Cash Discount Price: $1,166
- vs. Medicare Baseline: 9.29x 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 929% of the Medicare baseline (a markup of 829%). 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 |
|---|---|---|
| Tricare | $145 | 81% |
| Humana | $162 | 90% |
| Medicaid / KanCare | $162 - $1,850 | 90% |
| UnitedHealthcare | $162 - $1,850 | 90% |
| Celtic Mcr Adv | $162 | 90% |
| Blue Cross Blue Shield | $462 - $1,850 | 258% |
| Wppa - All Plans | $541 | 302% |
| Multiplan - All Plans | $1,665 | 929% |
| Aetna | $1,804 - $1,850 | 1007% |
| Soonerselect Mcaid - All Plans | $1,850 | 1032% |
| Celtic Mcaid - All Other Plans | $1,850 | 1032% |
Consumer Guidance & Cost Commentary
For this CT scan of the head with contrast at Kansas Heart Hospital in Wichita, KS, the facility's cash price is $1,166, which is lower than the state average of $1,665. While many insurance plans negotiate rates ranging from $145 to $1,850, the cash rate can be a more affordable option for patients with high-deductible plans or those without coverage, as the negotiated amounts often exceed the cash price. To potentially lower your cost further, you should contact the hospital directly to inquire about self-pay or prompt-pay discounts, which may offer an additional reduction for upfront payment.
It is important to understand that commercial insurance rates are often higher than the cash price due to administrative costs and contract structures, even when the facility is in-network. If you choose to use insurance, be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur if ancillary services like labs are out-of-network. Regardless of your payment method, always request a full itemized bill before paying to ensure no errors or unbundled charges are included, and verify your deductible status to avoid unexpected out-of-pocket expenses.