CT scan, head (no contrast)
Facility: Greenwood County Hospital
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $717
- Cash Discount Price: $678
- vs. Medicare Baseline: 6.71x 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 671% of the Medicare baseline (a markup of 571%). 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 |
|---|---|---|
| Triwest - All Plans | $303 | 284% |
| UnitedHealthcare | $356 - $712 | 333% |
| Tricare | $356 | 333% |
| Choicecare Mcr Adv - All Plans | $356 | 333% |
| Blue Cross Blue Shield | $430 - $453 | 403% |
| Integrated Health Plan - All Plans | $636 | 595% |
| First Health - All Other Plans | $721 | 675% |
| First Health Ccn Network | $721 | 675% |
| Beech Street - All Plans | $721 | 675% |
| Preferred Hs (Coventry) - All Plans | $763 | 714% |
| Principal Health Care Inc - All Plans | $806 | 755% |
| Amerigroup Mcaid-All Plans | $848 | 794% |
| Medicaid / KanCare | $848 | 794% |
| Providrs Care/Wppa - All Plans | $1,272 | 1191% |
Consumer Guidance & Cost Commentary
For the CPT code 70450, representing a CT scan of the head without contrast, Greenwood County Hospital in Eureka, Kansas, lists a gross charge of $848.00. This amount is significantly higher than the facility's own cash median of $678.00 and the median negotiated rate of $712.00 paid by insurers. While the facility is a Critical Access Hospital with government local ownership, the data indicates that commercial payers negotiate rates ranging from $303 to $1,272 depending on the plan, with UnitedHealthcare and Tricare offering the lowest negotiated amounts at $356. Patients should be aware that while insurance often covers the cost, the cash price may be lower if their deductible is high or if they choose to pay out-of-pocket, potentially saving money compared to the standard insurance negotiated rate.
To ensure you are receiving the most accurate pricing, it is crucial to request a full itemized bill rather than accepting a summary invoice that obscures individual line items. Hospitals may inflate their chargemaster lists to make discounts appear larger, so comparing your final rate directly to the Medicare benchmark of $106.81 provides a clearer picture of the true cost. Additionally, if you are self-paying, ask specifically about "prompt-pay" discounts, which can reduce bills by 20% to 50% if settled upfront, and verify that your insurance has not automatically submitted a claim that would void any cash discount agreement. Always confirm your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than expected.