CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lee's Summit Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,493
Cash Discount Price: $11,650
vs. Medicare Baseline: 13.91x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lee's Summit Medical Center is $2,493. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,650. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.91x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$11,650

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,493

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: $11,650 (6501%)

Insurance Median: $2,493 (1391%)

Cash: $11,650 (6501% of Medicare)

Ins. Median: $2,493 (1391% 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 1391% of the Medicare baseline (a markup of 1291%). 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 - $5,608	56%
Healthyblue	$103	57%
Medicaid / KanCare	$104	58%
Aetna	$105 - $6,356	59%
Amerigroup	$105	59%
Unicare	$105	59%
Home State Health Plan	$106	59%
Multiplan	$139 - $9,223	78%
Corvel Corporation	$165 - $8,101	92%
Oha Network	$172 - $6,232	96%
Cigna	$204 - $9,970	114%
Blue Cross Blue Shield	$323 - $5,359	180%
Humana	$363 - $468	203%
Ambetter / Centene	$2,016 - $2,318	1125%
Nhc Advantage	$2,059 - $2,368	1149%
Wppa Providrs Care Network	$2,167 - $2,493	1209%
Universal Healthcare	$3,793 - $4,362	2117%
Coventry	$4,356 - $5,010	2431%
Coventry Kc Mo	$4,443 - $5,110	2479%
College Park Family Care Center	$4,660 - $5,359	2600%
Focus Healthcare Mgmt, Inc	$8,128 - $9,347	4536%
Cco, Inc.	$9,211 - $10,594	5140%

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 $11,650.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.