CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Hospital Aurora

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,503
Cash Discount Price: $1,919
vs. Medicare Baseline: 13.97x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Hospital Aurora is $2,503. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,919. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.97x the Medicare baseline. Located in 500 Porter Avenue, Aurora, MO.

Cash / Self-Pay

$1,919

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,503

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: $1,919 (1071%)

Insurance Median: $2,503 (1397%)

Cash: $1,919 (1071% of Medicare)

Ins. Median: $2,503 (1397% 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 1397% of the Medicare baseline (a markup of 1297%). 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
Medicaid / KanCare	$101 - $1,497	56%
Medicare (plans)	$166 - $874	93%
Blue Cross Blue Shield	$234 - $2,952	131%
UnitedHealthcare	$234 - $2,804	131%
Aetna	$840 - $2,627	469%
Cherokee Nation Health Serv Contracted [320066]	$840	469%
Cigna	$840 - $2,509	469%
Cross Timbers Hospice [20098]	$840	469%
Elara Caring Aspire Hospice [20433]	$840	469%
Globalhealth Contracted [320145]	$840	469%
Halo Hcr Inc Hospice Contracted [320432]	$840	469%
Halo Hcr Inc Hospice [20432]	$840	469%
Humana	$840 - $2,509	469%
Indian Health Service Contracted [320198]	$840	469%
Kindful Hospice Contracted [320434]	$840	469%
Kindful Hospice [20434]	$840	469%
Medical Associates Health Contracted [320444]	$840	469%
Mercy Hospice Okc [20252]	$840	469%
Mercy Mgd Behavioral Health Contracted [320259]	$840	469%
Pace Of The Ozarks Contracted [320518]	$840	469%
Provider Partners Health Plans Contracted [320450]	$840	469%
Qual Choice Contracted [320325]	$840	469%
Dept Of Veteran Affairs Contracted [320106]	$859	479%
Tricare	$859	479%
Healthscope Contracted [320182]	$1,088	607%
Centivo Contracted [320505]	$1,181	659%
Administrative Payor Contracted [320005]	$1,328	741%
Ambetter / Centene	$1,497	835%
Home State Health Plan Contracted [320187]	$1,497	835%
Novasys Contracted [320285]	$1,497	835%
Healthlink Contracted [320179]	$1,919 - $2,657	1071%
Preferred Health Plan Contracted [320522]	$1,919	1071%
Health Systems Inc Contracted [320174]	$2,362	1318%
Insurance System Inc Contracted [320465]	$2,362	1318%
Point C Contracted [320238]	$2,362 - $2,509	1318%
Point C [20238]	$2,362	1318%
Workers Comp [20426]	$2,362 - $2,509	1318%
Medica Contracted [320239]	$2,497	1393%
90 Degree Benefits Contracted [320436]	$2,509	1400%
Aither Health Contracted [320449]	$2,509	1400%
American Healthcare Alliance Contracted [320020]	$2,509	1400%
Auxiant Contracted [320462]	$2,509	1400%
Benefit Management Contracted [320052]	$2,509	1400%
Ebms Contracted [320493]	$2,509	1400%
Edison Health Solutions Contracted [320502]	$2,509	1400%
Evolutions Health Care Contracted [320124]	$2,509	1400%
First Health Contracted [320128]	$2,509	1400%
Imagine 360 Contracted [320494]	$2,509	1400%
Mercy Benefit Admin Contracted [320251]	$2,509	1400%
Reflect Health Contracted [320492]	$2,509	1400%
Show-Me Health Administrators Contracted [320483]	$2,509	1400%
United Medical Resources Contracted [320454]	$2,509 - $2,598	1400%
Yuzu Health Contracted [320521]	$2,509	1400%
Usa Managed Care Org Contracted [320429]	$2,598	1450%
Multiplan Contracted [320270]	$2,804	1565%
Private Health Care Systems Contracted [320320]	$2,804	1565%

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 $1,919.
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 Mercy Hospital Aurora 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.