CT scan, head (no contrast)
Facility: Minneola District Hospital
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $490
- Cash Discount Price: $338
- vs. Medicare Baseline: 4.59x 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 459% of the Medicare baseline (a markup of 359%). 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 | $38 - $615 | 36% |
| Humana | $38 - $412 | 36% |
| Va Community Care Program-All Plans | $38 - $412 | 36% |
| Aetna | $88 - $615 | 82% |
| Providrs Care Network-All Plans | $88 - $523 | 82% |
| Medicaid / KanCare | $88 - $615 | 82% |
| Blue Cross Blue Shield | $458 | 429% |
| Corporate Plan Management-All Plans | $523 | 490% |
| Triwest-All Plans | $554 | 519% |
| Preferred Health Care (Coventry)-All Other Plans | $554 | 519% |
| Phc (Coventry) Leased Network | $584 | 547% |
| Health Partners Of Kansas-All Plans | $584 | 547% |
Consumer Guidance & Cost Commentary
For the CT scan of the head (no contrast) at Minneola District Hospital, the cash median price is $338.00, which is lower than the facility's negotiated rate of $554.00 and the median negotiated rate across payers of $490.00. While the facility's negotiated rate of $554.00 is higher than the cash price, patients with high-deductible plans may find paying the cash median of $338.00 upfront more cost-effective if their insurance allows the negotiated rate to exceed the cash price. It is important to note that this facility is a Critical Access Hospital in Kansas, and while the data does not provide specific state or county average comparisons for this specific procedure, patients should always verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can significantly reduce the final bill.
The Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating the facility's pricing markup. The facility's gross charge of $483.00 is significantly higher than the Medicare amount, reflecting the administrative costs and contract dynamics inherent in commercial billing. Although the facility is owned by a Government Hospital District or Authority, the negotiated rates vary widely among the 12 payers, ranging from a low of $38.00 to a high of $615.00, with most plans falling between $38.00 and $523.00. Patients should be aware that balance billing is generally prohibited for emergency care under the No Surprises Act, and if they receive an unexpected bill, they