CT scan, head (with contrast)
Facility: Rooks County Health Center
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $1,745
- Cash Discount Price: $1,454
- vs. Medicare Baseline: 9.74x 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 974% of the Medicare baseline (a markup of 874%). 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 | $480 | 268% |
| Celtic Mcr Adv | $911 | 508% |
| Tricare | $911 | 508% |
| Veterans Admin - All Plans | $911 | 508% |
| Celtic Comm - All Other Plans | $1,002 | 559% |
| Aetna | $1,745 | 974% |
| UnitedHealthcare | $1,745 | 974% |
| Preferred Benefits Admin | $1,745 | 974% |
| Health Partners - All Plans | $1,842 | 1028% |
| Preferred Hlthcare - All Other Plans | $1,842 | 1028% |
| Healthy Blue Mcaid - All Plans | $1,939 | 1082% |
Consumer Guidance & Cost Commentary
For the CPT code 70460 (CT scan, head with contrast) at Rooks County Health Center in Plainville, KS, the facility's cash median price is $1,454.00, which is lower than the state average of $1,745.00. While the facility's gross charge is $1,939.00, commercial insurance negotiated rates vary significantly, ranging from $480.00 with Blue Cross Blue Shield up to $1,939.00 with Healthy Blue Mcaid. Patients with high-deductible plans may find paying the cash price of $1,454.00 more cost-effective than using insurance, as the negotiated rates for many payers exceed the cash amount. It is important to verify your specific deductible status before scheduling, as using insurance without meeting your deductible could result in higher out-of-pocket costs than paying cash directly.
To maximize savings, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to request a full itemized billing audit if you receive a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. By comparing the facility's rates against the Medicare benchmark of $179.20 and seeking written confirmation of any discounts, consumers can ensure they are not overpaying for this essential diagnostic service.