CT scan, head (with contrast)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $168
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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.
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 |
|---|---|---|
| Medicare (plans) | $165 - $168 | 92% |
| Vc Hope | $165 | 92% |
| Humana | $165 | 92% |
| Va | $165 | 92% |
| Aetna | $167 - $715 | 93% |
| UnitedHealthcare | $168 - $461 | 94% |
| Blue Cross Blue Shield | $168 | 94% |
| Smarthealth | $230 | 128% |
| Medicaid / KanCare | $280 | 156% |
| Cigna | $383 | 214% |
Consumer Guidance & Cost Commentary
For the CPT code 70460, representing a CT scan of the head with contrast, the facility's negotiated rates range from $165 to $461 across ten payers, with a median negotiated amount of $168.00. This facility is located in Wichita, Kansas, and its pricing aligns closely with the state average, as the median negotiated rate matches the statewide benchmark of $168.00. While some commercial payers like Aetna show a wide range up to $715, the majority of plans, including Medicare, Vc Hope, Humana, and several Blue Cross carriers, settle at the lower end between $165 and $168. Patients should note that while in-network insurance provides protection against balance billing, the actual amount paid can vary significantly depending on individual deductibles and plan specifics.
When considering payment options, it is important to understand that cash-pay rates are not explicitly listed for this service, but patients should always inquire about self-pay or prompt-pay discounts before scheduling. Hospitals often offer significant fee reductions, typically ranging from 20% to 50%, for patients who pay in full upfront, bypassing the administrative costs associated with insurance claims processing. Since commercial negotiated rates can sometimes exceed cash prices due to multi-layered administrative structures, patients with high-deductible plans may find it financially advantageous to pay the facility directly if the negotiated rate is higher than the cash price. To ensure you are receiving the most accurate and transparent pricing, request a full itemized bill before finalizing any payment, as summary bills may obscure individual code costs and potential errors.