CMS Price Transparency Data

CT scan, head (with contrast)

Facility: University of Michigan Health - West

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,081
Cash Discount Price: $645
vs. Medicare Baseline: 6.03x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at University of Michigan Health - West is $1,081. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $645. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.03x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$645

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,081

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: $645 (360%)

Insurance Median: $1,081 (603%)

Cash: $645 (360% of Medicare)

Ins. Median: $1,081 (603% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 603% of the Medicare baseline (a markup of 503%). 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	$96 - $380	54%
Molina Healthcare Of Mi	$96	54%
Care Resources	$161	90%
Humana	$179 - $1,210	100%
Insight Metro Care	$179	100%
Medicare (plans)	$179	100%
Molina Marketplace Commercial	$179	100%
Priority Health	$287	160%
Aetna	$621 - $1,081	347%
Web Tpa	$709	396%
Alliance Health & Life Ppo	$1,081	603%
Asr Physicians	$1,081	603%
Hap	$1,081	603%
Golden Rule Ins	$1,163	649%
Medica	$1,163	649%
Student Ins/Mega Life	$1,163	649%
UnitedHealthcare	$1,163	649%
Asr Cofinity	$1,347	752%
Cofinity Commercial	$1,347	752%
Cofinity Weyco	$1,347	752%
Core Source	$1,347	752%
Epoch Group	$1,347	752%
Health Partners	$1,347	752%
Hlthcomp Admin	$1,347	752%
Mid America	$1,347	752%

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 $645.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.