CT scan, head (no contrast)
Facility: Great Plains Of Sabetha
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $630
- Cash Discount Price: $663
- vs. Medicare Baseline: 5.90x 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 590% of the Medicare baseline (a markup of 490%). 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 |
|---|---|---|
| Celtic Mcr Adv | $345 | 323% |
| Aetna | $348 - $670 | 326% |
| Celtic Comm Exchange-All Other Plans | $431 | 404% |
| Great West Healthcare-All Plans | $564 | 528% |
| UnitedHealthcare | $617 - $663 | 578% |
| Century/Wppa/Providers-All Plans | $630 | 590% |
| Multiplan-Phcs-All Plans | $630 | 590% |
| Humana | $630 | 590% |
| Cigna | $630 | 590% |
| Federated Mutual Ins-All Plans | $636 | 595% |
| Medicaid / KanCare | $663 | 621% |
| Blue Cross Blue Shield | $663 | 621% |
Consumer Guidance & Cost Commentary
For the CT scan of the head (no contrast) at Great Plains of Sabetha, the cash price is $663, which matches the facility's negotiated rate and the cash median. This service is significantly more expensive than the state average, as the Medicare benchmark of $106.81 indicates the true cost baseline for this procedure. While commercial insurance plans like Aetna and UnitedHealthcare have negotiated rates ranging from $348 to $663, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the full $663 upfront rather than relying on insurance, which could result in higher out-of-pocket costs if their deductible is not met.
Patients should be aware that the facility's gross charge of $663 is the maximum amount billed before any discounts, and the actual amount paid by insurers varies widely based on the specific plan. To minimize costs, it is advisable to ask the billing department directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full. Additionally, if a patient receives a bill from an out-of-network provider at this in-network facility, they may be protected by the No Surprises Act from balance billing for emergency services, and they should request an itemized audit to ensure no unbundled codes or services not rendered are included in the final invoice.