CT scan, head (no contrast)
Facility: Osborne County Memorial Hospital
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $933
- Cash Discount Price: $876
- vs. Medicare Baseline: 8.74x 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 874% of the Medicare baseline (a markup of 774%). 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 |
|---|---|---|
| UnitedHealthcare | $784 | 734% |
| Health Partners Of Kansas | $887 | 830% |
| Wppa | $979 | 917% |
| Blue Cross Blue Shield | $1,010 | 946% |
Consumer Guidance & Cost Commentary
For a CT scan of the head without contrast at Osborne County Memorial Hospital, the cash median price is $876.00, which is lower than the facility's negotiated rates of $933.00 and the highest commercial payer rate of $1,010.00. This suggests that for patients with high-deductible plans, paying cash directly could result in lower out-of-pocket costs compared to using insurance, as the negotiated rates often exceed the cash price due to administrative overhead. While the facility is a Critical Access Hospital in Osborne, KS, with a government-local ownership structure, patients should verify their specific plan's allowed amount before scheduling, as commercial rates can vary significantly between payers.
The Medicare benchmark for this service is $106.81, indicating that the cash price of $876.00 represents a markup of 8.7 times the federal baseline, which is notably higher than the typical fair pricing range of 120% to 150% of Medicare. To ensure you are receiving the most accurate billing, request an itemized bill that breaks down every CPT code and charge, as summary bills often obscure errors or unbundled services. If you choose to pay with insurance, be aware that the facility offers prompt-pay discounts for upfront cash payments, which can further reduce the final amount owed by bypassing costly claims processing fees.