CT scan, head (no contrast)
Facility: Goodland Regional Medical Center
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $617
- Cash Discount Price: $617
- vs. Medicare Baseline: 5.78x 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 578% of the Medicare baseline (a markup of 478%). 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 | $458 | 429% |
| Wppa | $582 - $616 | 545% |
| UnitedHealthcare | $616 | 577% |
Consumer Guidance & Cost Commentary
For a CT scan of the head without contrast at Goodland Regional Medical Center, the cash median price is $617.00, which is lower than the facility's gross charge of $685.00. While the facility is a Critical Access Hospital in Kansas with a government-local ownership structure, the data does not provide specific county or state average rates for this procedure to compare against. However, it is important to note that cash-paying patients with high-deductible plans may find this rate advantageous if their insurance negotiated rate exceeds the cash price, as paying out-of-pocket can sometimes result in lower total costs. Additionally, patients should verify with the hospital whether "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final bill by bypassing costly insurance claims processing.
The facility's negotiated rates vary by payer, ranging from $458 for Blue Cross Blue Shield to $616 for UnitedHealthcare, with a median negotiated amount of $617.00. Although the data indicates a median paid amount is not available, the Medicare benchmark for this service is $106.81, highlighting that commercial rates are significantly higher than the federal baseline. Under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, and if any unexpected ancillary charges appear, they should request a formal itemized audit to identify errors or unbundled codes. To ensure transparency and avoid surprise costs, consumers should demand a detailed line-by-line statement before agreeing to any payment plan or signing consent waivers.