CT scan, head (with contrast)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $1,035
- Cash Discount Price: $2,426
- 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 $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 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 |
|---|---|---|
| Medicaid / KanCare | $101 | 56% |
| Blue Cross Blue Shield | $531 - $1,035 | 296% |
| Tricare | $997 | 556% |
| Medicare (plans) | $1,035 | 578% |
| Medadv_Allwell | $1,035 | 578% |
| Va_Ccn | $1,035 | 578% |
| Medadv_Uhc | $1,035 | 578% |
| Humana | $1,035 | 578% |
| Aetna | $1,035 | 578% |
| Ambetter / Centene | $1,630 | 910% |
| Wppa_Providrscare | $2,685 | 1498% |
| United | $2,691 | 1502% |
| Coventry | $3,073 | 1715% |
| Hpk | $3,073 | 1715% |
| Cigna | $3,073 | 1715% |
Consumer Guidance & Cost Commentary
For a CT scan of the head with contrast at Neosho Memorial Regional Medical Center in Chanute, Kansas, the facility's negotiated rates range from $101 to $3,073 depending on your specific insurance plan. While the facility's cash price is $2,426, many commercial payers have negotiated rates that exceed this amount, with some plans paying up to $3,073. This highlights a common billing scenario where paying out-of-pocket can actually be cheaper than using insurance, particularly if your plan has a high deductible or if the negotiated rate is higher than the cash price. Because this facility is a Critical Access Hospital with government ownership, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final cost.
It is important to understand that the $179.20 Medicare benchmark serves as a baseline for the true cost of this service, while commercial rates often include administrative overhead and contract dynamics that inflate the price. Although the data shows a "vs_medicare" metric of 5.8, this figure likely reflects a specific calculation method rather than a direct markup percentage, so it is best to compare your specific allowed amount against the Medicare rate of $179.20 to evaluate fairness. If you receive a bill that appears to include balance billing for out-of-network services, remember that the No Surprises Act protects you from being billed for the difference between the chargemaster and your insurance payment for emergency care or non-emergency services at in-network facilities. Always request a full itemized bill to verify that no unbundled codes or services not rendered are included, as over