CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jewell County Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,283
  • Cash Discount Price: $1,013
  • vs. Medicare Baseline: 7.16x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jewell County Hospital is $1,283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,013. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.16x the Medicare baseline. Located in 100 Crestvue Ave, Mankato, KS.
Cash / Self-Pay
$1,013

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,283

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,013 (565%)
Insurance Median: $1,283 (716%)
Cash: $1,013 (565% of Medicare)
Ins. Median: $1,283 (716% of 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 716% of the Medicare baseline (a markup of 616%). 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
Rural Carriers - All Plans $1,148 641%
Meritain - All Plans $1,215 678%
Aetna $1,215 678%
Cigna $1,282 715%
First Health - All Plans $1,282 715%
Midlands Choice - All Plans $1,282 715%
UnitedHealthcare $1,282 715%

Consumer Guidance & Cost Commentary

Jewell County Hospital, located in Mankato, Kansas, provides a CT scan of the head with contrast for a cash median price of $1,013. This cash rate is notably lower than the facility's negotiated rates, which range from $1,148 to $1,283 depending on the insurance carrier, with a median negotiated rate of $1,283. While the data does not provide specific county or state average figures for this procedure, patients should be aware that paying cash upfront can sometimes result in lower out-of-pocket costs compared to using insurance, particularly if their plan's negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling your visit.

For patients using insurance, the allowed amounts vary significantly across different payers, with Rural Carriers - All Plans and Meritain - All Plans showing a consistent rate of $1,215, while others like Aetna, Cigna, and First Health list $1,282. The Medicare amount for this service is $179.20, which serves as a key benchmark to understand the markup on commercial rates. Since the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should verify their network status and request an itemized bill to ensure no unexpected charges are applied. If a bill is received, consumers should dispute any errors in writing rather than accepting summary invoices, as over 80% of hospital bills contain mistakes that can be corrected through a formal audit.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Crestvue Ave, Mankato, KS 66956
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals