CT scan, head (no contrast)
Facility: Grisell Memorial Hospital
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $942
- Cash Discount Price: $1,026
- vs. Medicare Baseline: 8.82x 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 882% of the Medicare baseline (a markup of 782%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $430 | 403% |
| UnitedHealthcare | $804 - $1,080 | 753% |
| Humana | $1,080 | 1011% |
| Medicaid / KanCare | $1,080 | 1011% |
Consumer Guidance & Cost Commentary
For this CT scan of the head (no contrast) at Grisell Memorial Hospital in Ransom, KS, the facility's cash median price is $1,026.00, which is lower than the gross chargemaster rate of $1,080.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, the data does not provide specific county or state average comparisons for this procedure, so no regional benchmarking is available. Patients with high-deductible plans may find the cash price advantageous if their insurance negotiated rate exceeds $1,026.00, as paying out-of-pocket could result in immediate savings. It is important to verify the specific negotiated rates with your insurance carrier before scheduling, as these vary significantly by payer and can sometimes be higher than the cash option.
Regarding billing protections, the No Surprises Act generally prevents balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, though patients should still review their itemized bills carefully to ensure no unbundled codes or services not rendered are included. If you receive a summary bill, request a full itemized CPT-coded statement to identify any errors or discrepancies before making a payment. Additionally, if you choose to pay directly, ask the hospital about prompt-pay discounts, which can reduce the final amount by 20% to 50% when paid upfront, bypassing the administrative costs associated with insurance claims processing. Always confirm your deductible status and request a waiver of insurance submission if you intend to pay the cash rate to avoid accidental claim submission that could void the discount.