CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mosaic Life Care at St Joseph

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,137
Cash Discount Price: $2,550
vs. Medicare Baseline: 6.34x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mosaic Life Care at St Joseph is $1,137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,550. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.34x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$2,550

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,137

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: $2,550 (1423%)

Insurance Median: $1,137 (634%)

Cash: $2,550 (1423% of Medicare)

Ins. Median: $1,137 (634% 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 634% of the Medicare baseline (a markup of 534%). 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
Aetna	$44 - $2,481	25%
Medicaid / KanCare	$44 - $153	25%
UnitedHealthcare	$44 - $4,230	25%
Amerigroup Of Iowa	$55 - $247	31%
Iowa Total Care	$55 - $247	31%
Molina Of Iowa	$55 - $247	31%
Blue Cross Blue Shield	$57 - $2,604	32%
Multiplan	$191 - $2,700	107%
Ambetter / Centene	$249 - $341	139%
Centurion	$560 - $2,100	313%
Geha Shared Services	$1,137 - $2,436	634%
Freedom Select Healthlink	$1,202 - $2,576	671%
Healthlink Open Access	$1,202 - $2,576	671%
Preferred Health Professional	$1,202 - $2,576	671%
Sisco	$1,202 - $2,576	671%
Cigna	$1,232 - $2,640	688%
Home State Of Missouri	$2,030 - $4,350	1133%
Healthy Blue Of Missouri	$2,492 - $5,340	1391%

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 $2,550.
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 Mosaic Life Care at St Joseph 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.