CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Mercy Hospital Joplin
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $886
- Cash Discount Price: $2,092
- vs. Medicare Baseline: 4.94x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Hospital Joplin is $886. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,092. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.94x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.
Cash / Self-Pay
$2,092
Average discount available for prompt cash payment at this facility.
Insurance Median
$886
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: $2,092 (1167%)
Insurance Median: $886 (494%)
Cash: $2,092 (1167% of Medicare)
Ins. Median: $886 (494% 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 494% of the Medicare baseline (a markup of 394%). 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.
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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 | $95 - $2,346 | 53% |
| Indian Health Service Contracted [320198] | $95 - $2,092 | 53% |
| Aetna | $99 - $179 | 55% |
| Humana | $99 - $965 | 55% |
| Medicaid / KanCare | $99 - $273 | 55% |
| Champva [20065] | $159 | 89% |
| Cherokee Nation Health Serv Contracted [320066] | $159 | 89% |
| Cigna | $159 - $1,097 | 89% |
| Cross Timbers Hospice [20098] | $159 | 89% |
| Dept Of Veteran Affairs Contracted [320106] | $159 | 89% |
| Elara Caring Aspire Hospice [20433] | $159 | 89% |
| Globalhealth Contracted [320145] | $159 | 89% |
| Halo Hcr Inc Hospice Contracted [320432] | $159 | 89% |
| Halo Hcr Inc Hospice [20432] | $159 | 89% |
| Kindful Hospice Contracted [320434] | $159 | 89% |
| Kindful Hospice [20434] | $159 | 89% |
| Medicare (plans) | $159 - $167 | 89% |
| Mercy Hospice Okc [20252] | $159 | 89% |
| Mercy Mgd Behavioral Health Contracted [320259] | $159 | 89% |
| Pace Of The Ozarks Contracted [320518] | $159 | 89% |
| Provider Partners Health Plans Contracted [320450] | $159 | 89% |
| Qual Choice Contracted [320325] | $159 | 89% |
| Tricare | $159 | 89% |
| UnitedHealthcare | $159 - $402 | 89% |
| Centivo Contracted [320505] | $162 | 90% |
| Healthscope Contracted [320182] | $202 | 113% |
| Ambetter / Centene | $269 | 150% |
| Home State Health Plan Contracted [320187] | $269 | 150% |
| Novasys Contracted [320285] | $269 | 150% |
| Providrs Care Network Contracted [320484] | $329 | 184% |
| United Medical Resources Contracted [320454] | $402 - $835 | 224% |
| Health Choice Contracted [320166] | $445 | 248% |
| Medica Contracted [320239] | $734 | 410% |
| Healthlink Contracted [320179] | $775 - $2,092 | 432% |
| 90 Degree Benefits Contracted [320436] | $1,014 | 566% |
| Mercy Benefit Admin Contracted [320251] | $1,014 - $1,834 | 566% |
| Show-Me Health Administrators Contracted [320483] | $1,014 - $1,066 | 566% |
| Point C Contracted [320238] | $1,126 - $2,574 | 628% |
| Benefit Management Contracted [320052] | $1,384 | 772% |
| Health Systems Inc Contracted [320174] | $1,384 | 772% |
| Insurance System Inc Contracted [320465] | $1,384 | 772% |
| Administrative Payor Contracted [320005] | $1,448 | 808% |
| Aither Health Contracted [320449] | $1,834 | 1023% |
| Auxiant Contracted [320462] | $1,834 - $2,092 | 1023% |
| Ebms Contracted [320493] | $1,834 | 1023% |
| Edison Health Solutions Contracted [320502] | $1,834 | 1023% |
| Imagine 360 Contracted [320494] | $1,834 | 1023% |
| Reflect Health Contracted [320492] | $1,834 | 1023% |
| Yuzu Health Contracted [320521] | $1,834 | 1023% |
| Preferred Health Plan Contracted [320522] | $2,092 | 1167% |
| First Health Contracted [320128] | $2,191 | 1223% |
| American Healthcare Alliance Contracted [320020] | $2,253 | 1257% |
| Multiplan Contracted [320270] | $2,478 | 1383% |
| Private Health Care Systems Contracted [320320] | $2,478 | 1383% |
| Usable Contracted [320409] | $2,478 | 1383% |
| Point C [20238] | $2,574 | 1436% |
| Workers Comp [20426] | $2,574 - $3,218 | 1436% |
| Usa Managed Care Org Contracted [320429] | $2,832 | 1580% |
| Ppo Plus Contracted [320310] | $2,896 | 1616% |