CT scan, head (no contrast)
Facility: Phillips County Hospital
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $572
- Cash Discount Price: $537
- vs. Medicare Baseline: 5.36x 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 536% of the Medicare baseline (a markup of 436%). 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 | $480 - $512 | 449% |
| UnitedHealthcare | $506 - $632 | 474% |
| Health Partners-All Plans | $632 | 592% |
| Medicaid / KanCare | $632 | 592% |
Consumer Guidance & Cost Commentary
For a CT scan of the head without contrast at Phillips County Hospital in Phillipsburg, Kansas, the cash price is $537, which is lower than the facility's negotiated rates for most major payers. While the median amount paid by insurance is $512, patients with high-deductible plans may find paying the cash price of $537 more cost-effective if their insurance negotiated rate for this service exceeds that amount. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly between carriers; for instance, UnitedHealthcare's negotiated rate for this procedure ranges from $506 to $632, whereas Medicaid/KanCare and Health Partners-All Plans have a fixed negotiated rate of $632.
To ensure you are receiving the most accurate pricing, always request an itemized bill before paying, as summary invoices can obscure individual charges or unbundled services. If you choose to use insurance, be aware that the facility's negotiated rate of $572 is higher than the Medicare benchmark of $106.81, reflecting standard administrative costs and contract dynamics. Additionally, ask the billing department about prompt-pay discounts, which can reduce the cash price by 20% to 50% if you settle the bill upfront, effectively bypassing the administrative overhead associated with insurance claims processing.