CT scan, head (with contrast)
Facility: Lindsborg Community Hospital
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $2,473
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 13.80x 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 1380% of the Medicare baseline (a markup of 1280%). 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 | 253% |
| Tricare | $1,270 | 709% |
| Coventry Mcr Adv | $1,283 | 716% |
| Cigna | $2,297 | 1282% |
| Coventry Comm-All Other Plans | $2,432 | 1357% |
| UnitedHealthcare | $2,432 | 1357% |
| Multiplan-All Plans | $2,513 | 1402% |
| Phcs Preferred-All Plans | $2,513 | 1402% |
| Health Partners -All Plans | $2,567 | 1432% |
| Wppa-All Plans | $2,567 | 1432% |
| Century Health-All Plans | $2,567 | 1432% |
| Coventry Wc | $2,567 | 1432% |
Consumer Guidance & Cost Commentary
For the CT scan of the head with contrast (CPT 70460) at Lindsborg Community Hospital, the facility's cash median price is $1,892.00, which is lower than the gross charge of $2,703.00. While the hospital is a Critical Access Hospital in Lindsborg, KS, the data provided does not include specific county or state average figures for comparison. However, for patients with high-deductible plans, paying the cash price directly can be more cost-effective than using insurance, as the negotiated rates paid by insurers range from $453 to $2,567. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final cost by bypassing administrative processing fees and claims delays.
Insurance negotiated rates vary significantly across payers, with Blue Cross Blue Shield offering the lowest allowed amount of $453 and others like UnitedHealthcare and Multiplan-All Plans at $2,513. It is important to note that these negotiated rates often exceed the cash price due to multi-layered administrative structures and contract dynamics. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should verify their deductible status before relying on insurance, as they may still be responsible for the full negotiated amount if their plan has not yet met its threshold. To ensure accuracy, patients should request a detailed, itemized bill to review specific CPT codes and avoid paying for services that were never rendered or were incorrectly bundled.