CT scan, head (with contrast)
Facility: Hodgeman County Health Center
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $1,225
- Cash Discount Price: $1,392
- vs. Medicare Baseline: 6.84x 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 684% of the Medicare baseline (a markup of 584%). 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 | 243% |
| UnitedHealthcare | $1,114 - $1,653 | 622% |
| Humana | $1,114 | 622% |
| Triwest - All Plans | $1,114 | 622% |
| Medicaid / KanCare | $1,114 - $1,740 | 622% |
| Aetna | $1,392 | 777% |
| First Health - All Plans | $1,566 | 874% |
| Wppa (Provdrscare) - All Plans | $1,653 | 922% |
| Health Partners - All Plans | $1,653 | 922% |
Consumer Guidance & Cost Commentary
For the CT scan of the head with contrast (CPT 70460) at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash median rate is $1,392.00, which aligns with the state average for this procedure. While the facility's gross charge is $1,740.00, insurance plans typically pay significantly less; for example, Blue Cross Blue Shield pays between $435 and $458 per plan, and Medicaid/KanCare pays between $1,114 and $1,740. Because commercial negotiated rates often exceed the cash price due to administrative overhead and contract structures, patients with high-deductible plans may save money by paying the cash rate of $1,392.00 directly, provided they verify the facility's "self-pay" or "prompt-pay" discounts before scheduling.
To avoid unexpected costs, consumers should request an itemized billing audit if they receive a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, while the No Surprises Act protects patients from balance billing for emergency care at in-network facilities, it is crucial to refuse signing out-of-network cost waivers for mandatory ancillary services and to dispute any surprise bills in writing rather than paying immediately. When evaluating the facility's pricing, it is more accurate to compare rates against the Medicare benchmark of $179.20 rather than the inflated chargemaster list price, as commercial rates often reflect markups that do not represent the true cost of care delivery.