CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Mary's Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $184
  • Cash Discount Price: $174
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St Mary's Medical Center is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.03x the Medicare baseline. Located in 201 Nw R D Mize Rd, Blue Springs, MO.
Cash / Self-Pay
$174

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $174 (97%)
Insurance Median: $184 (103%)
Cash: $174 (97% of Medicare)
Ins. Median: $184 (103% 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
UnitedHealthcare $101 - $581 56%
Medicaid / KanCare $152 85%
Aetna $175 - $239 98%
Cigna $175 98%
Home State $175 - $280 98%
Medicare (plans) $175 - $184 98%
Tricare $175 98%
Veterans Evaluation Services $175 98%
Kansas Superior $178 99%
Healthy Blue $184 - $217 103%
Employer Direct Healthcare $245 137%
Blue Cross Blue Shield $280 - $323 156%
6 Degrees $350 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Nw R D Mize Rd, Blue Springs, MO 64014
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals