CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Sparrow Ionia Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $173
Cash Discount Price: $108
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Sparrow Ionia Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.62x the Medicare baseline. Located in 3565 S State Road, Ionia, MI.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$173

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: $108 (101%)

Insurance Median: $173 (162%)

Cash: $108 (101% of Medicare)

Ins. Median: $173 (162% 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.

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	$26 - $117	24%
Medicare (plans)	$38 - $485	36%
Aetna	$54 - $1,372	51%
Covenant Advantage	$54 - $458	51%
Medigold	$54 - $458	51%
Senior Community Care	$54 - $458	51%
Humana	$57 - $1,482	53%
Blue Cross Blue Shield	$64 - $1,147	60%
Priority Health Medihmo	$107	100%
Priority	$133 - $1,123	125%
UnitedHealthcare	$166 - $1,404	155%
Cigna	$171 - $1,449	160%
Great West Healthcare	$171 - $1,449	160%
Asr	$173 - $1,464	162%
Blue Care Network	$173 - $1,464	162%
Health Alliance Plan	$173 - $1,464	162%
Cofinity	$175 - $1,482	164%
Mclaren Commercial	$192 - $1,631	180%

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 $108.
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 Sparrow Ionia 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.