CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $284
  • Cash Discount Price: $1,660
  • vs. Medicare Baseline: 2.66x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercy Specialty Hospital Southeast Kansas is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,660. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.66x the Medicare baseline. Located in 1619 K 66, Galena, KS.
Cash / Self-Pay
$1,660

Average discount available for prompt cash payment at this facility.

Insurance Median
$284

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: $1,660 (1554%)
Insurance Median: $284 (266%)
Cash: $1,660 (1554% of Medicare)
Ins. Median: $284 (266% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 266% of the Medicare baseline (a markup of 166%). 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
Aetna $57 - $102 53%
Medicaid / KanCare $57 - $165 53%
Humana $57 - $104 53%
Blue Cross Blue Shield $60 - $490 56%
Provider Partners Health Plans Contracted [320450] $62 58%
First Health Contracted [320128] $84 79%
UnitedHealthcare $91 - $2,362 85%
Tricare $102 95%
Kindful Hospice [20434] $102 95%
Cigna $102 - $467 95%
Medical Associates Health Contracted [320444] $102 95%
Pace Of The Ozarks Contracted [320518] $102 95%
Qual Choice Contracted [320325] $102 95%
Globalhealth Contracted [320145] $102 95%
Mercy Hospice Okc [20252] $102 95%
Halo Hcr Inc Hospice [20432] $102 95%
Kindful Hospice Contracted [320434] $102 95%
Elara Caring Aspire Hospice [20433] $102 95%
Mercy Mgd Behavioral Health Contracted [320259] $102 95%
Cross Timbers Hospice [20098] $102 95%
Cherokee Nation Health Serv Contracted [320066] $102 95%
Halo Hcr Inc Hospice Contracted [320432] $102 95%
Medicare (plans) $102 95%
Centivo Contracted [320505] $104 97%
Dept Of Veteran Affairs Contracted [320106] $104 97%
United Medical Resources Contracted [320454] $114 - $284 107%
Providrs Care Network Contracted [320484] $197 184%
Health Systems Inc Contracted [320174] $284 266%
Benefit Management Contracted [320052] $284 266%
Point C Contracted [320238] $284 - $1,916 266%
Insurance System Inc Contracted [320465] $284 266%
Healthscope Contracted [320182] $284 - $1,916 266%
Mercy Benefit Admin Contracted [320251] $610 - $1,788 571%
Show-Me Health Administrators Contracted [320483] $610 571%
Medica Contracted [320239] $734 687%
American Healthcare Alliance Contracted [320020] $1,788 1674%
Yuzu Health Contracted [320521] $1,788 1674%
Ebms Contracted [320493] $1,788 1674%
Reflect Health Contracted [320492] $1,788 1674%
Auxiant Contracted [320462] $1,788 - $1,916 1674%
Imagine 360 Contracted [320494] $1,788 1674%
Edison Health Solutions Contracted [320502] $1,788 1674%
Aither Health Contracted [320449] $1,788 1674%
Preferred Health Plan Contracted [320522] $1,916 1794%
Healthlink Contracted [320179] $1,916 1794%
Federal Medical Center Contracted [320127] $1,916 1794%
Compcare Of The Ozarks Contracted [320437] $2,018 1889%
Workers Comp [20426] $2,043 1913%
Private Health Care Systems Contracted [320320] $2,362 2211%
Multiplan Contracted [320270] $2,426 2271%
Multiplan [20270] $2,426 2271%

Consumer Guidance & Cost Commentary

For this CT scan of the head (no contrast) at Mercy Specialty Hospital Southeast Kansas, the facility's cash price of $1,660 is significantly higher than the state average of $98, though it remains below the gross charge of $2,554. While commercial insurance plans negotiate rates ranging from $57 to $2,426, many of these negotiated amounts exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and seeking prompt-pay discounts. It is important to note that Medicare, which serves as the objective baseline for fair pricing, sets a benchmark of $106.81 for this procedure; commercial rates averaging 200% to 300% of this figure often inflate the final cost, so comparing against the Medicare rate rather than the hospital's gross list price provides a clearer picture of actual value.

Patients should verify their specific plan's negotiated rate before scheduling, as in-network contracts vary widely across the 51 payers listed, with some allowing as little as $57 and others up to $2,362. If your insurance allows a rate higher than the cash price, you may qualify for a prompt-pay discount by paying upfront, which can reduce administrative fees and provide immediate liquidity benefits to the facility. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, but you should always request an itemized bill to ensure no unbundled codes or services not rendered are included. Given that over 80% of hospital bills contain errors, reviewing the detailed line items is essential to identify any discrepancies before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1619 K 66, Galena, KS 66739
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals