CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Cloud County Health Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,567
  • Cash Discount Price: $1,892
  • vs. Medicare Baseline: 24.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Cloud County Health Center is $2,567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,892. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.03x the Medicare baseline. Located in 155 West College Drive, Concordia, KS.
Cash / Self-Pay
$1,892

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,567

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,892 (1771%)
Insurance Median: $2,567 (2403%)
Cash: $1,892 (1771% of Medicare)
Ins. Median: $2,567 (2403% of 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 2403% of the Medicare baseline (a markup of 2303%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $2,432 - $2,513 2277%
Mpi-All Plans $2,567 2403%
Pponext-All Plans $2,567 2403%
Health Partners - All Plans $2,567 2403%

Consumer Guidance & Cost Commentary

For a CT scan of the head without contrast at Cloud County Health Center in Concordia, KS, the facility's cash median rate is $1,892.00, which is lower than the commercial negotiated rates of $2,567.00 seen across four major payers including Aetna and Mpi-All Plans. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients with high-deductible plans might find paying the cash price directly more affordable if their insurance deductible has not yet been met. It is important to note that commercial negotiated rates often include administrative overhead and do not reflect the true cost of care, which is better understood by comparing against the Medicare benchmark of $106.81 for this procedure.

Although the data does not provide specific state or county average comparisons for this service, the significant gap between the cash price and the negotiated rates highlights the potential for balance billing if a patient's insurance does not cover the full amount. 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, unexpected ancillary charges can still occur. To minimize costs, consumers should request a self-pay or prompt-pay discount before scheduling, as paying in full upfront can bypass the costly insurance claims cycle and reduce the final bill. Additionally, if a large bill is received, patients should demand a full itemized audit rather than accepting a summary invoice, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 155 West College Drive, Concordia, KS 66901
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals