CMS Price Transparency Data

CT scan, head (no contrast)

Facility: University of Michigan Health - West

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $902
Cash Discount Price: $538
vs. Medicare Baseline: 8.44x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at University of Michigan Health - West is $902. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $538. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.44x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$538

Average discount available for prompt cash payment at this facility.

Insurance Median

$902

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: $538 (504%)

Insurance Median: $902 (844%)

Cash: $538 (504% of Medicare)

Ins. Median: $902 (844% 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 844% of the Medicare baseline (a markup of 744%). 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
Medicaid / KanCare	$57 - $317	53%
Molina Healthcare Of Mi	$57	53%
Care Resources	$96	90%
Humana	$107 - $1,010	100%
Insight Metro Care	$107	100%
Medicare (plans)	$107	100%
Molina Marketplace Commercial	$107	100%
Priority Health	$201	188%
Aetna	$433 - $902	405%
Web Tpa	$591	553%
Alliance Health & Life Ppo	$902	844%
Asr Physicians	$902	844%
Hap	$902	844%
Golden Rule Ins	$970	908%
Medica	$970	908%
Student Ins/Mega Life	$970	908%
UnitedHealthcare	$970	908%
Asr Cofinity	$1,124	1052%
Cofinity Commercial	$1,124	1052%
Cofinity Weyco	$1,124	1052%
Core Source	$1,124	1052%
Epoch Group	$1,124	1052%
Health Partners	$1,124	1052%
Hlthcomp Admin	$1,124	1052%
Mid America	$1,124	1052%

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 $538.
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 University of Michigan Health - West 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.