CT scan, head (no contrast)
Facility: Kiowa County Memorial Hospital
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $712
- Cash Discount Price: $680
- vs. Medicare Baseline: 6.67x 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 667% of the Medicare baseline (a markup of 567%). 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 | $458 - $712 | 429% |
| UnitedHealthcare | $641 - $800 | 600% |
| Health Partners Of Ks-All Plans | $704 | 659% |
| Aetna | $712 | 667% |
| Celtic Comml Exchange-All Other Plans | $712 | 667% |
| Humana | $712 | 667% |
| Medica Prime Mcare Cost-All Plans | $712 | 667% |
| Medicaid / KanCare | $800 | 749% |
| Providrs Care/Wppa-All Plans | $1,200 | 1123% |
Consumer Guidance & Cost Commentary
For the CPT code 70450, representing a CT scan of the head without contrast, the facility's cash median price is $680.00, which is lower than the negotiated rates paid by most major insurers. While the facility's cash rate is below the state average, patients with high-deductible plans may find paying out-of-pocket at $680.00 more cost-effective than relying on insurance, as many commercial payers negotiate rates exceeding $700.00 for this service. To secure the lowest possible price, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The Medicare benchmark for this procedure is $106.81, serving as a critical baseline to evaluate the facility's pricing markup. Although the facility is a Critical Access Hospital in Greensburg, KS, with government-local ownership, the commercial negotiated rates range from $458 to $1,200 depending on the payer, with a median negotiated rate of $712.00. Because commercial rates often include administrative overhead and do not reflect the true cost of care, comparing them to the Medicare rate reveals a significant markup. Consumers should be aware that while the No Surprises Act protects against balance billing for emergency services at in-network facilities, it is essential to verify network status and request an itemized bill to ensure no unexpected charges are incurred.