CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Promedica Monroe Regional Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $273
Cash Discount Price: $1,003
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Promedica Monroe Regional Hospital is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,003. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.56x the Medicare baseline. Located in 718 N Macomb St, Monroe, MI.

Cash / Self-Pay

$1,003

Average discount available for prompt cash payment at this facility.

Insurance Median

$273

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: $1,003 (939%)

Insurance Median: $273 (256%)

Cash: $1,003 (939% of Medicare)

Ins. Median: $273 (256% 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 256% of the Medicare baseline (a markup of 156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Meridian	$57	53%
Priority Health	$57 - $849	53%
Blue Cross Blue Shield	$60 - $867	56%
Aetna	$62 - $1,086	58%
Molina Healthcare Of Michigan	$62	58%
UnitedHealthcare	$63 - $1,253	59%
Paramount Healthcare Inc	$96 - $1,173	90%
Health Alliance Plan	$99 - $1,265	93%
Humana	$101 - $107	95%
Veterans Affairs	$105	98%
Amerihealth	$273	256%
Frontpath	$895	838%
Encore Health Network	$1,080	1011%
Health Ohio Network, Llc	$1,080	1011%
Cofinity	$1,100	1030%
Multiplan	$1,389	1300%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,003.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Promedica Monroe Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.