CT scan, head (no contrast)
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $284
- Cash Discount Price: $1,660
- vs. Medicare Baseline: 2.66x 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 $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.
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.