CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Neosho Memorial Regional Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $712
  • Cash Discount Price: $1,669
  • vs. Medicare Baseline: 6.67x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Neosho Memorial Regional Medical Center is $712. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,669. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.67x the Medicare baseline. Located in 629 South Plummer Ave, Chanute, KS.
Cash / Self-Pay
$1,669

Average discount available for prompt cash payment at this facility.

Insurance Median
$712

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,669 (1563%)
Insurance Median: $712 (667%)
Cash: $1,669 (1563% of Medicare)
Ins. Median: $712 (667% of 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 667% of the Medicare baseline (a markup of 567%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $60 56%
Blue Cross Blue Shield $531 - $712 497%
Tricare $686 642%
Va_Ccn $712 667%
Humana $712 667%
Aetna $712 667%
Medicare (plans) $712 667%
Medadv_Uhc $712 667%
Medadv_Allwell $712 667%
Ambetter / Centene $1,122 1050%
Wppa_Providrscare $1,847 1729%
United $1,852 1734%
Hpk $2,114 1979%
Cigna $2,114 1979%
Coventry $2,114 1979%

Consumer Guidance & Cost Commentary

For a CT scan of the head without contrast at Neosho Memorial Regional Medical Center in Chanute, Kansas, the facility's cash median price is $1,669, while the median negotiated rate paid by insurance plans is $712. This specific procedure is priced significantly lower than the facility's gross charge of $2,226, reflecting the impact of prompt-pay discounts available for self-pay patients. Because the cash price is higher than the negotiated rate, patients with high-deductible plans or those without insurance may find it beneficial to pay the cash price directly, as the insurance negotiated rate of $712 often exceeds the cash price for shoppable services. To secure the lowest possible cost, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the administrative overhead associated with insurance billing cycles.

The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $106.81 for this service. While the cash price of $1,669 is substantially higher than the Medicare rate, it is important to note that commercial negotiated rates often average 200% to 300% of Medicare, whereas fair pricing is typically defined as 120% to 150% of the Medicare amount. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, meaning they should not pay unexpected bills for out-of-network providers at this location. If a patient receives a summary bill that does not detail individual charges, they should request a full itemized audit to identify any errors,

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 629 South Plummer Ave, Chanute, KS 66720
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals