CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Perham Health

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $846
Cash Discount Price: $1,528
vs. Medicare Baseline: 4.72x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Perham Health is $846. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,528. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.72x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$1,528

Average discount available for prompt cash payment at this facility.

Insurance Median

$846

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: $1,528 (853%)

Insurance Median: $846 (472%)

Cash: $1,528 (853% of Medicare)

Ins. Median: $846 (472% 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 472% of the Medicare baseline (a markup of 372%). 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
Medica Mn (Msho)	$546	305%
Medica Mn Senior Hp/Outside Mn	$546	305%
Blue Cross Blue Shield	$799 - $893	446%
Health Partners Mcr Adv	$799	446%
Humana	$799	446%
Medica Mcr Adv	$799	446%
Medicare (plans)	$799 - $888	446%
Ucare Mn Senior Health Options	$799	446%
UnitedHealthcare	$822 - $1,833	459%
Ucare Mn Special Needs Basic Care Dual	$839	468%
Ucare Mn Medical Assistance	$846	472%
Ucare Mn Minnesota Care	$846	472%
Ucare Mn Senior Care Plus	$846	472%
Ucare Mn Special Needs Basic Care	$846	472%
Medicaid / KanCare	$847	473%
Medica Mcaid Mn Care	$860	480%
Ucare Individual And Family Plan-All Other Plans	$973	543%
Health Partners Minnesota Care	$1,175	656%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$1,762	983%
Medica Commercial-All Other Plans	$1,900	1060%
Health Partners-All Plans	$1,927	1075%
Preferred One (Ppo)	$1,998	1115%
Sanford Health Plan-All Plans	$1,998	1115%

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 $1,528.
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 Perham Health 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.