CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mercy Hospital - Cassville

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,899
Cash Discount Price: $1,543
vs. Medicare Baseline: 10.60x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mercy Hospital - Cassville is $1,899. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,543. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.60x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$1,543

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,899

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: $1,543 (861%)

Insurance Median: $1,899 (1060%)

Cash: $1,543 (861% of Medicare)

Ins. Median: $1,899 (1060% 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 1060% of the Medicare baseline (a markup of 960%). 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
Aetna	$82 - $2,113	46%
Humana	$82 - $2,018	46%
Medicaid / KanCare	$82 - $1,234	46%
Medicare (plans)	$166 - $1,017	93%
Blue Cross Blue Shield	$167 - $2,303	93%
UnitedHealthcare	$234 - $2,255	131%
Dept Of Veteran Affairs Contracted [320106]	$810	452%
Tricare	$962	537%
Cherokee Nation Health Serv Contracted [320066]	$978	546%
Cigna	$978 - $2,255	546%
Cross Timbers Hospice [20098]	$978	546%
Elara Caring Aspire Hospice [20433]	$978	546%
Globalhealth Contracted [320145]	$978	546%
Halo Hcr Inc Hospice Contracted [320432]	$978	546%
Halo Hcr Inc Hospice [20432]	$978	546%
Indian Health Service Contracted [320198]	$978	546%
Kindful Hospice Contracted [320434]	$978	546%
Kindful Hospice [20434]	$978	546%
Medical Associates Health Contracted [320444]	$978	546%
Mercy Hospice Okc [20252]	$978	546%
Mercy Mgd Behavioral Health Contracted [320259]	$978	546%
Pace Of The Ozarks Contracted [320518]	$978	546%
Provider Partners Health Plans Contracted [320450]	$978	546%
Qual Choice Contracted [320325]	$978	546%
Healthscope Contracted [320182]	$992	554%
Administrative Payor Contracted [320005]	$1,068	596%
Centivo Contracted [320505]	$1,211	676%
Ambetter / Centene	$1,234	689%
Home State Health Plan Contracted [320187]	$1,234	689%
Novasys Contracted [320285]	$1,234	689%
Healthlink Contracted [320179]	$1,543 - $2,137	861%
Preferred Health Plan Contracted [320522]	$1,543	861%
Health Systems Inc Contracted [320174]	$1,899	1060%
Insurance System Inc Contracted [320465]	$1,899	1060%
Point C Contracted [320238]	$1,899 - $2,137	1060%
Point C [20238]	$1,899	1060%
United Medical Resources Contracted [320454]	$1,899 - $2,018	1060%
Workers Comp [20426]	$1,899 - $2,137	1060%
Municipal Health Plan Contracted [320271]	$1,923	1073%
Medica Contracted [320239]	$2,127	1187%
90 Degree Benefits Contracted [320436]	$2,137	1193%
Aither Health Contracted [320449]	$2,137	1193%
American Healthcare Alliance Contracted [320020]	$2,137	1193%
Auxiant Contracted [320462]	$2,137	1193%
Benefit Management Contracted [320052]	$2,137	1193%
Ebms Contracted [320493]	$2,137	1193%
Edison Health Solutions Contracted [320502]	$2,137	1193%
Evolutions Health Care Contracted [320124]	$2,137	1193%
Imagine 360 Contracted [320494]	$2,137	1193%
Mercy Benefit Admin Contracted [320251]	$2,137	1193%
Reflect Health Contracted [320492]	$2,137	1193%
Show-Me Health Administrators Contracted [320483]	$2,137	1193%
Usa Managed Care Org Contracted [320429]	$2,137	1193%
Yuzu Health Contracted [320521]	$2,137	1193%
First Health Contracted [320128]	$2,255	1258%
Multiplan Contracted [320270]	$2,255	1258%
Private Health Care Systems Contracted [320320]	$2,255	1258%

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 $1,543.
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 Mercy Hospital - Cassville 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.