CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $59
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Wyandotte Hospital and Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.33x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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%)

Insurance Median: $59 (33%)

Ins. Median: $59 (33% 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.

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
Aetna	$38 - $825	21%
Amerihealth Michigan	$38 - $171	21%
Mclaren Health Plan Inc.	$38 - $59	21%
Meridian	$38 - $59	21%
Priority	$40 - $59	22%
Molina	$41 - $235	23%
Hap	$50 - $235	28%
Humana	$56 - $178	31%
Pace Se Mi	$56	31%
Bcn	$59 - $174	33%
Blue Cross Blue Shield	$59 - $274	33%
Cca Health Mi	$59	33%
Health Alliance Plan Of Michigan	$59	33%
Mount Carmel Health Plan	$59 - $174	33%
United Behavioral Health, Inc.	$59	33%
UnitedHealthcare	$59 - $1,232	33%
Wellcare Ma	$59	33%
Mclaren	$60	33%
Meridian Health Plan Of Mi	$60 - $225	33%
Priority Health	$60 - $454	33%
Vitalcore Physicians Group Of Mi	$77 - $401	43%
Cigna	$85 - $1,225	47%
Cofinity	$95	53%
Pace Of Se Mi	$166	93%
Cca Health Michigan	$174	97%
Erickson	$174	97%
Hap Caresource	$174	97%
Mclaren Health	$174 - $771	97%
Molina Mi Health Link	$174	97%
Wellcare	$176	98%
Cofinity Group Health	$669 - $848	373%
Multiplan, Inc.	$1,217	679%
University Of Michigan	$1,454	811%

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 $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Wyandotte Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.