CT scan, head (with contrast)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $855
- Cash Discount Price: $760
- vs. Medicare Baseline: 4.77x 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 477% of the Medicare baseline (a markup of 377%). 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 | $430 - $453 | 240% |
| UnitedHealthcare | $855 - $950 | 477% |
| Providers Care (Wppa)-All Plans | $1,662 | 927% |
Consumer Guidance & Cost Commentary
For a CT scan of the head with contrast at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's cash median price is $760.00, which is lower than the negotiated rate of $855.00 typically paid by UnitedHealthcare. While the facility is a Critical Access Hospital with government ownership, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance negotiated rate exceeds this amount. It is important to verify the specific allowed amount with your insurer before scheduling, as in-network rates can vary significantly between payers, and to ask the hospital directly about "self-pay" or "prompt-pay" discounts that could further reduce the final bill.
When evaluating the cost against federal standards, the facility's cash price of $760.00 is significantly lower than the Medicare amount of $179.20, indicating a markup relative to the government benchmark. Although the data does not provide specific state or county average comparisons for this CPT code, the facility's cash rate remains a key reference point for consumers. To ensure you are receiving the most accurate pricing, request a full itemized billing audit before paying, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Always dispute any balance billing or unexpected charges formally in writing, and remember that the No Surprises Act protects you from being billed for out-of-network services at in-network facilities.