CT scan, head (with contrast)
Facility: Great Plains Of Sabetha
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $630
- Cash Discount Price: $663
- vs. Medicare Baseline: 3.52x 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 352% of the Medicare baseline (a markup of 252%). 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 | 193% |
| Aetna | $348 - $670 | 194% |
| Celtic Comm Exchange-All Other Plans | $431 | 241% |
| Great West Healthcare-All Plans | $564 | 315% |
| UnitedHealthcare | $617 - $663 | 344% |
| Humana | $630 | 352% |
| Century/Wppa/Providers-All Plans | $630 | 352% |
| Multiplan-Phcs-All Plans | $630 | 352% |
| Cigna | $630 | 352% |
| Federated Mutual Ins-All Plans | $636 | 355% |
| Blue Cross Blue Shield | $663 | 370% |
| Medicaid / KanCare | $663 | 370% |
Consumer Guidance & Cost Commentary
For the CPT code 70460 (CT scan, head with contrast) at Great Plains of Sabetha, the cash median price is $663.00, which matches the facility's gross charge and the Medicare benchmark of $179.20. While the facility is a Critical Access Hospital in Sabetha, KS, the data does not provide specific county or state average rates for comparison. However, the negotiated rates paid by insurance payers range from $345 to $663, with the lowest negotiated amount being $345 from Celtic Mcr Adv. This indicates that for patients with high-deductible plans, paying the cash price of $663.00 upfront may be more cost-effective than relying on insurance, as some commercial payers negotiate rates that exceed the cash price due to administrative overhead and contract dynamics.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to verify network status before scheduling. If a patient chooses to pay out-of-network, they should request a formal itemized billing audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. Additionally, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can reduce the final cost by bypassing the costly claims processing cycle and administrative fees associated with insurance billing.