CT scan, head (with contrast)
Facility: Minneola District Hospital
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $505
- Cash Discount Price: $359
- vs. Medicare Baseline: 2.82x 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 282% of the Medicare baseline (a markup of 182%). 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 |
|---|---|---|
| Va Community Care Program-All Plans | $50 - $436 | 28% |
| UnitedHealthcare | $50 - $650 | 28% |
| Humana | $50 - $436 | 28% |
| Providrs Care Network-All Plans | $122 - $552 | 68% |
| Aetna | $122 - $650 | 68% |
| Medicaid / KanCare | $122 - $650 | 68% |
| Blue Cross Blue Shield | $458 | 256% |
| Corporate Plan Management-All Plans | $552 | 308% |
| Preferred Health Care (Coventry)-All Other Plans | $585 | 326% |
| Triwest-All Plans | $585 | 326% |
| Health Partners Of Kansas-All Plans | $618 | 345% |
| Phc (Coventry) Leased Network | $618 | 345% |
Consumer Guidance & Cost Commentary
For the CT scan of the head with contrast at Minneola District Hospital, the cash price is $359.00, which is significantly lower than the facility's negotiated rates ranging from $50 to $650 depending on the insurance plan. While the facility's negotiated rates are generally higher than the cash price, patients with high-deductible plans may find paying the cash rate of $359.00 more cost-effective than relying on insurance, as the negotiated amounts often exceed the cash price. It is important to note that the facility is a Critical Access Hospital in Kansas, and while specific county averages are not provided in this data, the cash rate of $359.00 is notably lower than the facility's own median negotiated rate of $585.00 and the gross charge of $513.00.
To minimize costs, patients should proactively ask the hospital about self-pay or prompt-pay discounts before scheduling, as these can reduce the final bill by 20% to 50%. Additionally, since the facility is government-owned, patients should verify their specific plan details to ensure they are not subject to balance billing, which is largely prohibited for emergency care under the No Surprises Act. When reviewing the final invoice, request a detailed itemized bill to identify any errors or unbundled charges, as over 80% of hospital bills contain mistakes that can be corrected. Finally, comparing the facility's rates to the Medicare benchmark of $179.20 reveals that the cash price of $359.00 represents a markup of approximately 200% over the federal baseline, which is consistent with typical commercial pricing structures