CT scan, head (with contrast)
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $416
- Cash Discount Price: $1,713
- vs. Medicare Baseline: 2.32x 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 232% of the Medicare baseline (a markup of 132%). 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 |
|---|---|---|
| Medicaid / KanCare | $82 - $208 | 46% |
| Aetna | $82 - $170 | 46% |
| Humana | $82 - $173 | 46% |
| Blue Cross Blue Shield | $86 - $490 | 48% |
| Provider Partners Health Plans Contracted [320450] | $88 | 49% |
| First Health Contracted [320128] | $120 | 67% |
| UnitedHealthcare | $152 - $2,437 | 85% |
| Cross Timbers Hospice [20098] | $170 | 95% |
| Pace Of The Ozarks Contracted [320518] | $170 | 95% |
| Cigna | $170 - $1,097 | 95% |
| Elara Caring Aspire Hospice [20433] | $170 | 95% |
| Globalhealth Contracted [320145] | $170 | 95% |
| Medicare (plans) | $170 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $170 | 95% |
| Medical Associates Health Contracted [320444] | $170 | 95% |
| Qual Choice Contracted [320325] | $170 | 95% |
| Halo Hcr Inc Hospice [20432] | $170 | 95% |
| Mercy Hospice Okc [20252] | $170 | 95% |
| Mercy Mgd Behavioral Health Contracted [320259] | $170 | 95% |
| Kindful Hospice Contracted [320434] | $170 | 95% |
| Tricare | $170 | 95% |
| Kindful Hospice [20434] | $170 | 95% |
| Cherokee Nation Health Serv Contracted [320066] | $170 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $173 | 97% |
| Centivo Contracted [320505] | $173 | 97% |
| United Medical Resources Contracted [320454] | $239 - $416 | 133% |
| Providrs Care Network Contracted [320484] | $329 | 184% |
| Insurance System Inc Contracted [320465] | $416 | 232% |
| Benefit Management Contracted [320052] | $416 | 232% |
| Point C Contracted [320238] | $416 - $1,976 | 232% |
| Healthscope Contracted [320182] | $416 - $1,976 | 232% |
| Health Systems Inc Contracted [320174] | $416 | 232% |
| Medica Contracted [320239] | $734 | 410% |
| Show-Me Health Administrators Contracted [320483] | $890 | 497% |
| Mercy Benefit Admin Contracted [320251] | $890 - $1,844 | 497% |
| Yuzu Health Contracted [320521] | $1,844 | 1029% |
| Aither Health Contracted [320449] | $1,844 | 1029% |
| Edison Health Solutions Contracted [320502] | $1,844 | 1029% |
| Reflect Health Contracted [320492] | $1,844 | 1029% |
| Imagine 360 Contracted [320494] | $1,844 | 1029% |
| American Healthcare Alliance Contracted [320020] | $1,844 | 1029% |
| Auxiant Contracted [320462] | $1,844 - $1,976 | 1029% |
| Ebms Contracted [320493] | $1,844 | 1029% |
| Federal Medical Center Contracted [320127] | $1,976 | 1103% |
| Healthlink Contracted [320179] | $1,976 | 1103% |
| Preferred Health Plan Contracted [320522] | $1,976 | 1103% |
| Compcare Of The Ozarks Contracted [320437] | $2,082 | 1162% |
| Workers Comp [20426] | $2,108 | 1176% |
| Private Health Care Systems Contracted [320320] | $2,437 | 1360% |
| Multiplan Contracted [320270] | $2,503 | 1397% |
| Multiplan [20270] | $2,503 | 1397% |
Consumer Guidance & Cost Commentary
For the CT scan of the head with contrast (CPT 70460) at Mercy Specialty Hospital Southeast Kansas, the facility's cash median price is $1,713, which is lower than the gross charge of $2,635. While many commercial payers have negotiated rates ranging from $82 to $2,503, the cash price can be a more cost-effective option for patients with high-deductible plans or those without insurance, as it avoids the administrative markup inherent in insurance billing. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details and ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final cost.
The facility's pricing is benchmarked against the Medicare rate of $179.20, with the cash median representing approximately 9.5 times the Medicare amount. Although the data does not provide specific state or county average comparisons for this procedure, the wide variance in negotiated rates across 51 different payers highlights that commercial rates can fluctuate significantly based on contract terms. To ensure you are receiving a fair price, we recommend requesting a full itemized bill to review every line item and code, as over 80% of hospital bills contain errors such as unbundled charges or services not rendered. If you receive a bill that appears inflated, you have the right to dispute it in writing with the billing supervisor to correct any inaccuracies before payment.