CT scan, head (with and without contrast)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 70470 (CPT)
- CPT Billing Code: 70470
- Insurance Median: $1,188
- Cash Discount Price: $2,785
- vs. Medicare Baseline: 6.63x 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 663% of the Medicare baseline (a markup of 563%). 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 |
|---|---|---|
| Medicaid / KanCare | $101 | 56% |
| Blue Cross Blue Shield | $531 - $1,188 | 296% |
| Tricare | $1,144 | 638% |
| Va_Ccn | $1,188 | 663% |
| Medadv_Allwell | $1,188 | 663% |
| Humana | $1,188 | 663% |
| Medadv_Uhc | $1,188 | 663% |
| Aetna | $1,188 | 663% |
| Medicare (plans) | $1,188 | 663% |
| Ambetter / Centene | $1,871 | 1044% |
| Wppa_Providrscare | $3,082 | 1720% |
| United | $3,089 | 1724% |
| Coventry | $3,527 | 1968% |
| Cigna | $3,527 | 1968% |
| Hpk | $3,527 | 1968% |
Consumer Guidance & Cost Commentary
For a CT scan of the head at Neosho Memorial Regional Medical Center in Chanute, Kansas, the facility's cash median price is $2,785, which is lower than the state average for this procedure. While many commercial payers have negotiated rates as high as $3,527, the cash price offers a potential savings for patients with high-deductible plans or those without insurance, as paying upfront can sometimes be cheaper than the insurance negotiated rate. It is important to note that this facility is a Critical Access Hospital with government local ownership, and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative claim processing fees.
The facility's Medicare benchmark rate is $179.20, which serves as the objective baseline for evaluating pricing markup. The median amount paid by insurers is $3,364, representing a 6.6% increase over the Medicare rate, while the gross chargemaster price is $3,713. Patients should be aware that commercial negotiated rates often include administrative costs that inflate the baseline price, and comparing these rates directly to the Medicare benchmark reveals the true cost structure rather than the inflated list price. If a patient receives a bill that exceeds the negotiated rate or includes unexpected charges, they should request an itemized billing audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through a formal written dispute.