CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $258
  • Cash Discount Price: $465
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Poplar Bluff Regional Medical Center is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $465. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.44x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$465

Average discount available for prompt cash payment at this facility.

Insurance Median
$258

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: $465 (259%)
Insurance Median: $258 (144%)
Cash: $465 (259% of Medicare)
Ins. Median: $258 (144% 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
Medicaid / KanCare $17 - $958 9%
Self Pay $21 - $1,150 12%
Blue Cross Blue Shield $22 - $1,241 12%
Cigna $47 - $3,834 26%
Evolutions Healthcare $47 - $2,612 26%
UnitedHealthcare $47 - $2,578 26%
Tyson Foods $48 - $2,636 27%
Access Health Services, Llc $49 - $2,731 27%
Parker Hannifin $52 - $3,354 29%
Healthlink $54 - $2,995 30%
First Health $56 - $3,115 31%
Blue Traditional $64 - $3,697 36%
Coventry Wc $69 - $3,834 39%
Municipal Health $69 - $3,834 39%
Multiplan $75 - $4,169 42%
Phcs $75 - $4,169 42%
Compresults Wc $78 - $4,313 44%
Veterans Eval Services $87 - $153 49%
Node Champva $177 99%
Tricare $177 99%
Medicare (plans) $185 103%
Node United Behavioral Health Mcr Adv $185 103%
Humana $187 104%
Node Hospice Non Par Agree $188 105%
Node Va $188 105%
Node Ahs Mcr Adv $193 108%
Node Devoted Health Mcr Adv $194 108%
Node Pphp Mcr Adv $213 119%
Centurion Correctional $235 131%
Us Department Of Labor $235 131%
Naphcare $358 200%
Home State Exchange $470 262%
W W Wood $470 262%
Blue Access $643 359%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals