CMS Price Transparency Data
CT scan, head (with contrast)
Facility: Mercy Hospital Springfield
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $840
- Cash Discount Price: $2,139
- vs. Medicare Baseline: 4.69x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mercy Hospital Springfield is $840. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,139. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.69x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$2,139
Average discount available for prompt cash payment at this facility.
Insurance Median
$840
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: $2,139 (1194%)
Insurance Median: $840 (469%)
Cash: $2,139 (1194% of Medicare)
Ins. Median: $840 (469% 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 469% of the Medicare baseline (a markup of 369%). 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 | $80 - $2,514 | 45% |
| Aetna | $82 - $525 | 46% |
| Humana | $82 - $2,238 | 46% |
| Medicaid / KanCare | $82 - $275 | 46% |
| Centurion Of Missouri [20459] | $158 | 88% |
| Champva [20065] | $158 | 88% |
| Cherokee Nation Health Serv Contracted [320066] | $158 | 88% |
| Cigna | $158 - $1,097 | 88% |
| Cross Timbers Hospice [20098] | $158 | 88% |
| Dept Of Veteran Affairs Contracted [320106] | $158 | 88% |
| Elara Caring Aspire Hospice [20433] | $158 | 88% |
| Globalhealth Contracted [320145] | $158 | 88% |
| Halo Hcr Inc Hospice Contracted [320432] | $158 | 88% |
| Halo Hcr Inc Hospice [20432] | $158 | 88% |
| Indian Health Service Contracted [320198] | $158 | 88% |
| Indian Health Service [20198] | $158 | 88% |
| Kindful Hospice Contracted [320434] | $158 | 88% |
| Kindful Hospice [20434] | $158 | 88% |
| Medicare (plans) | $158 - $166 | 88% |
| Mercy Hospice Okc [20252] | $158 | 88% |
| Mercy Mgd Behavioral Health Contracted [320259] | $158 | 88% |
| Mercy Rehab Hospital Contracted [320260] | $158 | 88% |
| Pace Of The Ozarks Contracted [320518] | $158 | 88% |
| Qual Choice Contracted [320325] | $158 | 88% |
| Tricare | $158 | 88% |
| UnitedHealthcare | $158 - $2,534 | 88% |
| Provider Partners Health Plans Contracted [320450] | $174 | 97% |
| Healthscope Contracted [320182] | $202 | 113% |
| Centivo Contracted [320505] | $266 | 148% |
| Ambetter / Centene | $275 | 153% |
| Home State Health Plan Contracted [320187] | $275 | 153% |
| Novasys Contracted [320285] | $275 | 153% |
| Providrs Care Network Contracted [320484] | $329 | 184% |
| United Medical Resources Contracted [320454] | $402 - $1,711 | 224% |
| Workers Comp [20426] | $450 - $2,797 | 251% |
| Healthlink Contracted [320179] | $648 - $1,876 | 362% |
| Medica Contracted [320239] | $836 | 467% |
| Medica [20239] | $836 | 467% |
| Point C Contracted [320238] | $844 - $2,468 | 471% |
| 90 Degree Benefits Contracted [320436] | $847 | 473% |
| Mercy Benefit Admin Contracted [320251] | $847 - $1,876 | 473% |
| Show-Me Health Administrators Contracted [320483] | $847 - $890 | 473% |
| Benefit Management Contracted [320052] | $1,316 | 734% |
| Health Systems Inc Contracted [320174] | $1,316 | 734% |
| Insurance System Inc Contracted [320465] | $1,316 | 734% |
| Administrative Payor Contracted [320005] | $1,481 - $1,646 | 826% |
| Evolutions Health Care Contracted [320124] | $1,481 | 826% |
| Point C [20238] | $1,481 | 826% |
| Medical Destinations Contracted [320242] | $1,646 | 919% |
| First Health Contracted [320128] | $1,843 | 1028% |
| Aither Health Contracted [320449] | $1,876 | 1047% |
| Auxiant Contracted [320462] | $1,876 - $2,139 | 1047% |
| Ebms Contracted [320493] | $1,876 | 1047% |
| Edison Health Solutions Contracted [320502] | $1,876 | 1047% |
| Imagine 360 Contracted [320494] | $1,876 | 1047% |
| Reflect Health Contracted [320492] | $1,876 | 1047% |
| Yuzu Health Contracted [320521] | $1,876 | 1047% |
| Federal Medical Center Contracted [320127] | $1,975 | 1102% |
| Multiplan Contracted [320270] | $2,534 | 1414% |
| Private Health Care Systems Contracted [320320] | $2,534 | 1414% |
| Compcare Of The Ozarks Contracted [320437] | $2,600 | 1451% |
| American Healthcare Alliance Contracted [320020] | $2,633 | 1469% |
| Qual Choice Contracted [320324] | $2,633 | 1469% |
| Municipal Health Plan Contracted [320271] | $2,666 | 1488% |
| Usa Managed Care Org Contracted [320429] | $2,896 | 1616% |
| Ppo Plus Contracted [320310] | $2,962 | 1653% |