CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cox Medical Centers

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $821
Cash Discount Price: $762
vs. Medicare Baseline: 4.58x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cox Medical Centers is $821. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $762. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.58x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.

Cash / Self-Pay

$762

Average discount available for prompt cash payment at this facility.

Insurance Median

$821

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: $762 (425%)

Insurance Median: $821 (458%)

Cash: $762 (425% of Medicare)

Ins. Median: $821 (458% 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 458% of the Medicare baseline (a markup of 358%). 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
Cox Healthplans	$175	98%
Health Net Federal Services	$175	98%
Humana	$175	98%
Medrisk Llc	$175	98%
UnitedHealthcare	$175 - $1,715	98%
Blue Cross Blue Shield	$177 - $1,241	99%
Allwell	$180	100%
Devoted	$187	104%
Provider Partners Health Plan	$187	104%
Parkcrest Dental Group	$760	424%
Coastal Energy Corporation	$768	429%
Heart Of America Beverage Company	$783	437%
Loren Cook	$799	446%
Springfieldgreene Co Library	$814	454%
Src Holdings Corporation	$821	458%
Ozark Anesthesia Assoc. Inc	$831	464%
Missouri Affiliated School Consortium (Masc)	$853	476%
Justice Furniture And Bedding Co	$857	478%
The Durham Company	$857	478%
Ozark County	$863	482%
Ozarks Cocacola	$871	486%
Flora Farms	$887	495%
Advanced Concrete Technology	$897	501%
Texas Co Memorial Hospital	$1,265	706%
Bjc Health Solutions	$1,366 - $3,026	762%

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 $762.
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 Cox Medical Centers 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.