CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Via Christi Hospital Wichita St Teresa, Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $166
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Via Christi Hospital Wichita St Teresa, Inc is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.93x the Medicare baseline. Located in 14800 West Teresa St, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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%)
Insurance Median: $166 (93%)
Ins. Median: $166 (93% 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.

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
Vc Hope $165 92%
Via Christi Research $165 92%
Medicare (plans) $165 - $168 92%
Saint Lukes Health Systems $165 92%
Humana $165 92%
Va $165 92%
UnitedHealthcare $168 - $461 94%
Blue Cross Blue Shield $168 94%
Corizon $206 115%
Smarthealth $230 128%
Medicaid / KanCare $280 156%
Aetna $445 - $493 248%

Consumer Guidance & Cost Commentary

For the CPT code 70470 (CT scan, head with and without contrast) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $165 to $493 depending on the payer. The lowest negotiated amount is $165, which aligns with the rates for several major payers including Medicare, Humana, and Va. However, the highest negotiated rate is $493 for Aetna, which is significantly higher than the facility's median negotiated rate of $166.00. While the facility is a Voluntary non-profit - Church located in Wichita, KS, the data does not provide specific county or state average comparisons for this procedure, so patients should rely on the facility's own negotiated rates and the Medicare benchmark of $179.20 as a baseline for fair pricing.

Patients should be aware that commercial negotiated rates often exceed cash prices due to administrative costs and contract dynamics, meaning paying out-of-pocket might result in a lower total cost if the insurance allowed amount is high. Although the facility's cash and median paid values are not listed in the current data, patients are encouraged to ask directly about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront. Additionally, if a patient receives care from an out-of-network provider at this in-network facility, they may face balance billing for services not covered by the No Surprises Act, such as certain ancillary services; in such cases, patients should dispute any surprise bills with the insurer rather than paying immediately. Finally, before finalizing payment, patients should request a full itemized bill to ensure no

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14800 West Teresa St, Wichita, KS 67235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals