CT scan, head (with contrast)
Facility: Wichita County Health Center
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $1,144
- Cash Discount Price: $1,003
- vs. Medicare Baseline: 6.38x 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 638% of the Medicare baseline (a markup of 538%). 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 | $1,035 | 578% |
| UnitedHealthcare | $1,254 | 700% |
Consumer Guidance & Cost Commentary
For the CT scan of the head with contrast at Wichita County Health Center in Leoti, Kansas, the facility's cash price is $1,003, which is lower than the negotiated rates paid by UnitedHealthcare ($1,254) and Medicaid/KanCare ($1,035). While the cash rate is the lowest listed option, patients with high-deductible plans may find that paying the cash price upfront is more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash rate. It is important to note that this facility is a Critical Access Hospital with government-local ownership, and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not billed the full negotiated amount.
This service is priced significantly higher than the Medicare benchmark of $179.20, with the cash rate representing a markup of 6.4 times the federal rate. Because commercial insurance contracts often include administrative overheads that inflate the baseline price, the negotiated rates here are higher than the cash option. If you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to dispute balance billing under the No Surprises Act, and you should always request a detailed, itemized bill to verify that no services were unbundled or double-charged before making any payment.