CT scan, head (no contrast)
Facility: Girard Medical Center
Billing Code: 70450 (CPT)
- CPT Billing Code: 70450
- Insurance Median: $805
- Cash Discount Price: $1,380
- vs. Medicare Baseline: 7.54x 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 754% of the Medicare baseline (a markup of 654%). 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 | $480 - $805 | 449% |
| UnitedHealthcare | $805 - $2,185 | 754% |
| Ambetter / Centene | $805 | 754% |
| Aetna | $805 - $4,025 | 754% |
| Medicare (plans) | $805 | 754% |
| Kansas Superior Select-All Plans | $805 | 754% |
| Humana | $805 | 754% |
| Multiplan-All Plans | $2,128 | 1992% |
| Uhhis-All Plans | $2,185 | 2046% |
Consumer Guidance & Cost Commentary
For this CT scan of the head (no contrast) at Girard Medical Center in Girard, Kansas, the facility's negotiated rates for major payers like UnitedHealthcare and Aetna range from $805 to $2,185, while the cash median price is $1,380. It is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures, meaning patients with high-deductible plans might save money by paying the cash price directly, provided they have the funds available. The facility, a Critical Access Hospital owned by a Government Hospital District, has a facility rating of 2, and while specific county or state average comparisons are not provided in this dataset, the Medicare benchmark for this service is $106.81, which serves as a baseline to evaluate the markup of commercial rates.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it is crucial to verify your specific plan's deductible status before scheduling, as you may be responsible for the full negotiated amount if your deductible has not been met. To potentially reduce costs, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment by bypassing costly insurance claims processing. If you receive an itemized bill, request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through formal written disputes rather than verbal agreements.