CT scan, head (with and without contrast)
Facility: Greenwood County Hospital
Billing Code: 70470 (CPT)
- CPT Billing Code: 70470
- Insurance Median: $982
- Cash Discount Price: $930
- vs. Medicare Baseline: 5.48x 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 548% of the Medicare baseline (a markup of 448%). 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 | $415 | 232% |
| Blue Cross Blue Shield | $430 - $453 | 240% |
| Tricare | $488 | 272% |
| UnitedHealthcare | $488 - $976 | 272% |
| Choicecare Mcr Adv - All Plans | $488 | 272% |
| Integrated Health Plan - All Plans | $872 | 487% |
| First Health - All Other Plans | $988 | 551% |
| Beech Street - All Plans | $988 | 551% |
| First Health Ccn Network | $988 | 551% |
| Preferred Hs (Coventry) - All Plans | $1,046 | 584% |
| Principal Health Care Inc - All Plans | $1,104 | 616% |
| Amerigroup Mcaid-All Plans | $1,162 | 648% |
| Medicaid / KanCare | $1,162 | 648% |
| Providrs Care/Wppa - All Plans | $1,743 | 973% |
Consumer Guidance & Cost Commentary
For the CPT code 70470, representing a CT scan of the head with and without contrast, Greenwood County Hospital in Eureka, Kansas, lists a gross charge of $1,162. This amount is significantly higher than the Medicare benchmark of $179.20, which serves as the federal baseline for evaluating hospital pricing markups. While the facility's cash median price is $930.00 and the median negotiated rate across payers is $982.00, patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs than paying cash directly. In this case, the cash price is lower than the negotiated rates for most commercial payers, meaning patients with high-deductible plans might save money by paying out-of-pocket, provided they qualify for the cash rate.
It is important to note that the facility is a Critical Access Hospital owned by the local government, and while the data does not provide a specific county or state average for comparison, the wide variation in negotiated rates among the 14 payers—ranging from $415 to $1,743—highlights the impact of individual insurance contracts. Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance billing. Additionally, since the No Surprises Act protects against balance billing for emergency and non-emergency services at in-network facilities, patients should review their itemized bills carefully to ensure no unexpected charges exist before finalizing payment.