CT scan, head (with and without contrast)
Facility: Kiowa County Memorial Hospital
Billing Code: 70470 (CPT)
- CPT Billing Code: 70470
- Insurance Median: $1,113
- Cash Discount Price: $1,063
- vs. Medicare Baseline: 6.21x 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 621% of the Medicare baseline (a markup of 521%). 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 - $1,112 | 256% |
| UnitedHealthcare | $1,001 - $1,250 | 559% |
| Health Partners Of Ks-All Plans | $1,100 | 614% |
| Aetna | $1,112 | 621% |
| Medica Prime Mcare Cost-All Plans | $1,112 | 621% |
| Celtic Comml Exchange-All Other Plans | $1,112 | 621% |
| Humana | $1,112 | 621% |
| Medicaid / KanCare | $1,250 | 698% |
| Providrs Care/Wppa-All Plans | $1,875 | 1046% |
Consumer Guidance & Cost Commentary
For the CPT code 70470, representing a CT scan of the head with and without contrast, Kiowa County Memorial Hospital in Greensburg, KS, lists a gross charge of $1,250.00. When compared to the Medicare benchmark of $179.20, this facility's rate represents a 6.2% markup relative to the federal baseline, which is significantly lower than the typical commercial range of 200% to 300%. While the facility's cash median price of $1,063.00 is lower than the average negotiated rate of $1,113.00, patients with high-deductible plans may find that paying cash upfront is more cost-effective than relying on insurance, as the negotiated rates for major payers like UnitedHealthcare and Blue Cross Blue Shield range from $1,001 to $1,250. It is important to note that the facility is a Critical Access Hospital owned by the local government, and patients should verify their specific plan details before scheduling to ensure they are aware of any out-of-pocket responsibilities.
Patients should be aware that while the facility offers a cash median price of $1,063.00, the actual amount paid by insured members varies by payer, with the lowest negotiated rate being $458 for Blue Cross Blue Shield and the highest at $1,875 for Providrs Care/Wppa-All Plans. To potentially reduce costs further, individuals should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount for