CT scan, head (no contrast)
Facility: Wilson Medical Center
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $701
- Cash Discount Price: $657
- vs. Medicare Baseline: 6.56x 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 656% of the Medicare baseline (a markup of 556%). 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 | $453 - $876 | 424% |
| Humana | $464 | 434% |
| Aetna | $464 - $876 | 434% |
| Tricare | $464 | 434% |
| UnitedHealthcare | $464 - $815 | 434% |
| Ambetter / Centene | $464 - $876 | 434% |
| Cigna | $701 | 656% |
| Mulitplan-All Plans | $806 | 755% |
| Health Partners-All Plans | $806 | 755% |
Consumer Guidance & Cost Commentary
For a CT scan of the head without contrast at Wilson Medical Center in Neodesha, Kansas, the facility's cash median price is $657, which is lower than the state average of $701. While the facility's negotiated rates with insurance plans range from $453 to $876, patients should be aware that commercial rates often exceed cash prices due to administrative overhead and contract structures. If you have a high-deductible plan, paying the cash price of $657 upfront might result in lower out-of-pocket costs compared to your insurance's negotiated rate, especially if you have not yet met your deductible. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these can further reduce the final amount owed.
This procedure carries a Medicare benchmark of $106.81, which serves as the objective baseline for evaluating pricing fairness. The facility's cash rate of $657 represents a markup of approximately 6.6 times the Medicare amount, which is consistent with typical commercial pricing dynamics where negotiated rates average 200% to 300% of Medicare. To ensure you are not overcharged, request a detailed itemized bill that breaks down every CPT code and charge, as summary bills often obscure errors or unbundled services. If you receive a large bill after insurance processing, dispute any charges for services not rendered or items that were cancelled, and verify that the final amount aligns with the negotiated rate or cash price before payment.