CT scan, head (no contrast)
Facility: Hodgeman County Health Center
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $1,192
- Cash Discount Price: $1,354
- vs. Medicare Baseline: 11.16x 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 1116% of the Medicare baseline (a markup of 1016%). 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 | $435 - $458 | 407% |
| UnitedHealthcare | $1,084 - $1,608 | 1015% |
| Humana | $1,084 | 1015% |
| Medicaid / KanCare | $1,084 - $1,693 | 1015% |
| Triwest - All Plans | $1,084 | 1015% |
| Aetna | $1,354 | 1268% |
| First Health - All Plans | $1,524 | 1427% |
| Wppa (Provdrscare) - All Plans | $1,608 | 1505% |
| Health Partners - All Plans | $1,608 | 1505% |
Consumer Guidance & Cost Commentary
For the CT scan of the head (no contrast) at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash median rate is $1,354, which aligns with the cash median for this procedure in the state. While the facility is a government-owned Critical Access Hospital, the negotiated rates vary significantly by insurer, ranging from $1,084 with Humana and Medicaid/KanCare to $1,693 with Blue Cross Blue Shield. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; therefore, patients with high-deductible plans or those who have met their out-of-pocket maximum may find paying the cash rate directly more cost-effective than relying on insurance, especially if their plan's negotiated rate is higher than the cash price.
To ensure you are not overcharged, always request a full itemized bill before finalizing payment, as summary bills can obscure specific charges or unbundled codes that should be consolidated. If you receive a balance bill for out-of-network services, remember that the No Surprises Act generally prohibits providers from billing you for the difference between their chargemaster rate and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. Additionally, before scheduling any future care, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce your bill by 20% to 50% if you pay in full upfront, bypassing the costly claims processing cycle that inflates insurance-based billing.