CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lakewood Health System

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $556
  • Cash Discount Price: $572
  • vs. Medicare Baseline: 3.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lakewood Health System is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $572. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.10x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.
Cash / Self-Pay
$572

Average discount available for prompt cash payment at this facility.

Insurance Median
$556

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: $572 (319%)
Insurance Median: $556 (310%)
Cash: $572 (319% of Medicare)
Ins. Median: $556 (310% 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 310% of the Medicare baseline (a markup of 210%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Ucare Msho/Special Needs $39 - $695 22%
Blue Cross Blue Shield $57 - $876 32%
Humana $57 - $682 32%
Ucare Mcr Adv $57 - $695 32%
UnitedHealthcare $57 - $1,501 32%
Medica Msho/Mcr Adv $60 - $675 33%
Health Partners - All Plans $91 - $1,586 51%
Ucare Individual/Family - All Other Plans $92 - $776 51%
Medica Choice Care $102 - $735 57%
Medica Choice/Focus/Ifb/Mhps - All Other Plans $102 - $1,510 57%
Preferred One Hmo $114 - $1,603 64%
Preferred One Ppo - All Other Plans $121 - $1,603 68%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 49725 County Road 83, Staples, MN 56479
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals