CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Hospital Southeast

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $281
  • Cash Discount Price: $1,802
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Hospital Southeast is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,802. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.57x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$1,802

Average discount available for prompt cash payment at this facility.

Insurance Median
$281

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: $1,802 (1006%)
Insurance Median: $281 (157%)
Cash: $1,802 (1006% of Medicare)
Ins. Median: $281 (157% 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.

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
Imagine 360 Contracted [320494] $112 63%
Medicaid / KanCare $152 - $416 85%
Aetna $167 - $1,774 93%
Blue Cross Blue Shield $167 - $2,633 93%
Cross Timbers Hospice [20098] $167 93%
Dept Of Veteran Affairs Contracted [320106] $167 93%
Elara Caring Aspire Hospice Contracted [320433] $167 93%
Elara Caring Aspire Hospice [20433] $167 93%
Halo Hcr Inc Hospice Contracted [320432] $167 93%
Halo Hcr Inc Hospice [20432] $167 93%
Humana $167 - $2,356 93%
Kindful Hospice Contracted [320434] $167 93%
Kindful Hospice [20434] $167 93%
Medicare (plans) $167 - $176 93%
Mercy Hospice Okc [20252] $167 93%
Pace Of The Ozarks Contracted [320518] $167 93%
Tricare $167 93%
Ambetter / Centene $170 95%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $170 95%
Home State Health Plan Contracted [320187] $170 95%
Hope Trust Contracted [320488] $170 95%
UnitedHealthcare $170 - $1,148 95%
Provider Partners Health Plans Contracted [320450] $192 107%
Consociate Consolidated Health Contracted [320490] $234 - $376 131%
Auxiant Contracted [320462] $281 - $334 157%
Centivo Contracted [320505] $281 157%
Ebms Contracted [320493] $281 157%
Healthlink Contracted [320179] $281 - $2,162 157%
Mercy Benefit Admin Contracted [320251] $281 - $1,885 157%
Reflect Health Contracted [320492] $291 162%
Preferred Health Plan Contracted [320522] $298 166%
Cigna $661 369%
United Medical Resources Contracted [320454] $1,148 641%
First Health Contracted [320128] $1,774 990%
Health Alliance Contracted [320164] $1,802 1006%
Aither Health Contracted [320449] $1,885 1052%
Edison Health Solutions Contracted [320502] $1,885 1052%
Mercy Benefit Admin [20251] $1,885 1052%
Yuzu Health Contracted [320521] $1,885 1052%
Workers Comp [20426] $2,079 - $2,218 1160%
Multiplan Contracted [320270] $2,218 1238%
Private Health Care Systems Contracted [320320] $2,218 1238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals