CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Essentia Health St Marys - Detroit Lakes

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $187
Cash Discount Price: $1,180
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Essentia Health St Marys - Detroit Lakes is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,180. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.04x the Medicare baseline. Located in 1027 Washington Ave, Detroit Lakes, MN.

Cash / Self-Pay

$1,180

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $1,180 (658%)

Insurance Median: $187 (104%)

Cash: $1,180 (658% of Medicare)

Ins. Median: $187 (104% 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
Blue Cross Blue Shield	$123 - $1,397	69%
Primewest	$177	99%
Itasca Med Care	$178	99%
Advocare/Security Health	$187	104%
Freedom Blue Ppo	$187	104%
Healthpartners Care Msho / Mcr Adv	$187	104%
Imcare Msho Pcc Prime	$187	104%
Imcare Msho Ref Req	$187	104%
Medica Advantage Solutions	$187	104%
Medica Msho/Dual Solutions	$187	104%
Medica Prime Solution Group	$187	104%
Medicare (plans)	$187	104%
Nd Va Administration	$187	104%
Platinum Blue/Vantage Blue	$187	104%
Primewest Msho	$187	104%
Secure Blue Msho	$187	104%
Ubh Cost Plan	$187	104%
Ubh Msho	$187	104%
Ucare Msho	$187	104%
UnitedHealthcare	$187	104%
Sanford Healthplan	$315 - $830	176%
Ucare	$1,209	675%
Wea	$1,323 - $1,415	738%
America'S Ppo	$1,424	795%
Wps	$1,526	852%
Aetna	$1,562	872%
Healtheos	$1,581	882%

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 $1,180.
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 Essentia Health St Marys - Detroit Lakes 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.