CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lee's Summit Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,624
Cash Discount Price: $12,267
vs. Medicare Baseline: 14.64x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lee's Summit Medical Center is $2,624. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,267. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 14.64x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$12,267

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,624

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: $12,267 (6845%)

Insurance Median: $2,624 (1464%)

Cash: $12,267 (6845% of Medicare)

Ins. Median: $2,624 (1464% 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 1464% of the Medicare baseline (a markup of 1364%). 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
United	$101 - $5,905	56%
Healthyblue	$103	57%
Medicaid / KanCare	$104	58%
Aetna	$105 - $6,692	59%
Amerigroup	$105	59%
Unicare	$105	59%
Home State Health Plan	$106	59%
Multiplan	$167 - $9,711	93%
Corvel Corporation	$198 - $8,530	110%
Cigna	$204 - $10,498	114%
Oha Network	$207 - $6,561	116%
Blue Cross Blue Shield	$339 - $5,643	189%
Humana	$447 - $577	249%
Ambetter / Centene	$2,123 - $2,441	1185%
Nhc Advantage	$2,168 - $2,493	1210%
Wppa Providrs Care Network	$2,282 - $2,624	1273%
Universal Healthcare	$3,994 - $4,593	2229%
Coventry	$4,587 - $5,275	2560%
Coventry Kc Mo	$4,679 - $5,380	2611%
College Park Family Care Center	$4,907 - $5,643	2738%
Focus Healthcare Mgmt, Inc	$8,559 - $9,842	4776%
Cco, Inc.	$9,700 - $11,154	5413%

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 $12,267.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lee's Summit Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.