CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Missouri Baptist Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,118
  • Cash Discount Price: $1,219
  • vs. Medicare Baseline: 6.24x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Missouri Baptist Medical Center is $1,118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,219. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.24x the Medicare baseline. Located in 3015 N Ballas Rd, Saint Louis, MO.
Cash / Self-Pay
$1,219

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,118

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: $1,219 (680%)
Insurance Median: $1,118 (624%)
Cash: $1,219 (680% of Medicare)
Ins. Median: $1,118 (624% 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 624% of the Medicare baseline (a markup of 524%). 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.

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 $176 - $1,524 98%
Blue Cross Blue Shield $176 - $1,768 98%
Essence Healthcare [221] $176 98%
Healthscope Benefits [258] $176 - $1,009 98%
Humana $176 - $1,402 98%
UnitedHealthcare $176 - $1,510 98%
Cox Health [757] $184 103%
Devoted Health Plan [847] $184 103%
Medica [662] $184 103%
Cigna $597 - $920 333%
Consociate [478] $694 387%
Sarah Bush Lincoln [636] $694 387%
Allied Benefits [498] $821 - $1,510 458%
Coresource [497] $821 458%
Fmh Benefit Service Inc [222] $821 458%
Mail Handlers [495] $821 458%
Apwu Health Plan [216] $916 511%
Nalc Health Benefit Plan [242] $916 511%
Priority Health [648] $916 511%
Healthlink [225] $986 - $1,534 550%
Cox Health Systems Insurance Company [220] $1,118 - $1,321 624%
Med-Pay [480] $1,321 - $1,524 737%
Unicare [568] $1,321 - $1,534 737%
Health Alliance [224] $1,500 837%
First Health Commercial [734] $1,510 843%
Beechstreet [551] $1,524 850%
Detego Health [868] $1,524 850%
Health Systems Inc [620] $1,524 850%
Healthcare Sol Mercy [609] $1,524 850%
Multiplan Commercial [737] $1,524 850%
Multiplan [240] $1,524 850%
Phcs [244] $1,524 - $1,626 850%
Preferred Health Professionals [561] $1,534 856%
Hfn [563] $1,626 907%
Medica [661] $1,626 907%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3015 N Ballas Rd, Saint Louis, MO 63131
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals