CT scan, head (with contrast)
Facility: Holton Community Hospital
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $978
- Cash Discount Price: $884
- vs. Medicare Baseline: 5.46x 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 546% of the Medicare baseline (a markup of 446%). 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 | $453 | 253% |
| UnitedHealthcare | $624 - $1,178 | 348% |
| Aetna | $624 - $1,178 | 348% |
| Humana | $631 | 352% |
| Kansas Superior Select - All Plans | $637 | 355% |
| Preferred Health Freedom | $978 | 546% |
| Preferred Health Fn Select - All Other Plans | $978 | 546% |
| Preferred Health Professionals | $978 | 546% |
| Wppa Providers - All Plans | $1,119 | 624% |
| Medicaid / KanCare | $1,178 | 657% |
Consumer Guidance & Cost Commentary
For a CT scan of the head with contrast at Holton Community Hospital, the facility's cash median price is $884.00, which is lower than the negotiated rates paid by most major insurers like UnitedHealthcare and Aetna, where allowed amounts range from $624 to $1,178. While Medicaid and KanCare negotiate a rate of $1,178.00, the cash price remains the most affordable option for patients without insurance or those with high-deductible plans. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures, meaning paying out-of-pocket upfront can sometimes result in significant savings compared to what your insurance will allow.
The facility's cash rate of $884.00 is notably lower than the Medicare benchmark of $179.20, indicating a substantial markup relative to the federal government's cost-based reimbursement. However, when compared to the state of Kansas and the broader region, the facility's pricing aligns with typical market dynamics for Critical Access Hospitals. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, it is still advisable to request a prompt-pay discount or self-pay rate before scheduling, as these upfront discounts can further reduce the final cost. Always verify your specific plan's deductible status and ask the hospital directly about any available self-pay or prompt-pay incentives before your visit.