CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Kansas Medical Center Llc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $96
  • Cash Discount Price: $564
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Kansas Medical Center Llc is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $564. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 1124 West 21St Street, Andover, KS.
Cash / Self-Pay
$564

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $564 (528%)
Insurance Median: $96 (90%)
Cash: $564 (528% of Medicare)
Ins. Median: $96 (90% of 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.

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
Medicaid / KanCare $60 56%
Indian Health $87 81%
Tricare $87 81%
Medadv_Wellcare $96 90%
Ambetter / Centene $96 90%
Humana $96 90%
Blue Cross Blue Shield $96 - $437 90%
Three_Rivers $193 181%
Aetna $450 421%
Wppa $525 492%
United $580 543%

Consumer Guidance & Cost Commentary

For the CPT code 70450 (CT scan, head, no contrast) at Kansas Medical Center Llc in Andover, KS, the facility's cash median rate is $564.00, while the median negotiated rate across 11 payers is $96.00. This significant difference highlights that for patients with high-deductible plans or those without insurance, paying cash upfront can often be far cheaper than relying on insurance, which may result in higher out-of-pocket costs if the negotiated allowed amount exceeds the cash price. The facility's cash rate is notably higher than the state average for this service, suggesting that while the cash price is elevated, the negotiated rates provided by major insurers like Medicaid/KanCare, Indian Health, and Tricare remain relatively low and consistent at $60 to $87.

Patients should be aware that commercial insurance contracts often include administrative overheads that inflate the baseline price, with negotiated rates sometimes averaging 200% to 300% of the Medicare benchmark of $106.81 for this procedure. Although the facility's cash rate is higher than the Medicare amount, it is important to verify your specific plan's deductible status before assuming insurance will cover the cost, as some plans may require you to pay the full negotiated rate before the deductible is met. To maximize savings, we recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within a short window, effectively bypassing the costly claims processing cycle that insurance billing entails.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1124 West 21St Street, Andover, KS 67002
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals