CT scan, head (no contrast)
Facility: Trego County Lemke Memorial Hospital
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $657
- Cash Discount Price: $659
- vs. Medicare Baseline: 6.15x 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 615% of the Medicare baseline (a markup of 515%). 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 |
|---|---|---|
| Humana | $380 | 356% |
| Tricare | $410 | 384% |
| UnitedHealthcare | $480 - $775 | 449% |
| Medicaid / KanCare | $480 - $775 | 449% |
| Aetna | $480 - $698 | 449% |
| Va Ccn - All Plans | $480 | 449% |
| Ambetter / Centene | $529 | 495% |
| Blue Cross Blue Shield | $657 | 615% |
| Health Partners - All Plans | $736 | 689% |
| Healthy Blue Mcaid - All Plans | $775 | 726% |
Consumer Guidance & Cost Commentary
For the CPT code 70450, representing a CT scan of the head without contrast, Trego County Lemke Memorial Hospital in Wakeeney, KS, lists a gross charge of $775.00. While the facility's cash median price is $659.00, commercial insurance negotiated rates vary significantly across payers, ranging from a low of $380.00 with Humana to the full gross amount of $775.00 with UnitedHealthcare and Healthy Blue Medicaid. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; however, patients with high-deductible plans may find the cash price of $659.00 more affordable than their specific insurance allowed amount, which could be higher than the cash rate. Additionally, the facility offers a prompt-pay discount for upfront payment, which can further reduce the final cost for self-pay patients.
When evaluating the value of this service, it is essential to compare the facility's pricing against federal benchmarks rather than the hospital's inflated list price. The Medicare amount for this procedure is $106.81, which serves as a scientifically validated baseline for the true cost of care. The facility's cash median of $659.00 represents a significant markup over the Medicare rate, reflecting the costs of providing care in a Critical Access Hospital setting. While the data does not provide specific county or state average comparisons for this exact code, patients should be aware that commercial rates at this facility can reach up to 7.2 times the Medicare benchmark. To ensure you are receiving the best possible rate, we recommend requesting an itemized bill to