CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Promedica Monroe Regional Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $347
  • Cash Discount Price: $1,302
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Promedica Monroe Regional Hospital is $347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,302. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.94x the Medicare baseline. Located in 718 N Macomb St, Monroe, MI.
Cash / Self-Pay
$1,302

Average discount available for prompt cash payment at this facility.

Insurance Median
$347

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,302 (727%)
Insurance Median: $347 (194%)
Cash: $1,302 (727% of Medicare)
Ins. Median: $347 (194% of 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.

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 $96 54%
Priority Health $96 - $1,102 54%
Blue Cross Blue Shield $101 - $1,125 56%
Aetna $104 - $1,410 58%
Molina Healthcare Of Michigan $104 58%
UnitedHealthcare $106 - $1,626 59%
Paramount Healthcare Inc $156 - $1,522 87%
Health Alliance Plan $160 - $1,642 89%
Humana $164 - $179 92%
Veterans Affairs $177 99%
Amerihealth $273 152%
Frontpath $1,162 648%
Encore Health Network $1,402 782%
Health Ohio Network, Llc $1,402 782%
Cofinity $1,428 797%
Multiplan $1,803 1006%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals