CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Salem Memorial District Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,617
  • Cash Discount Price: $1,516
  • vs. Medicare Baseline: 15.14x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Salem Memorial District Hospital is $1,617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,516. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.14x the Medicare baseline. Located in Po Box 774, Salem, MO.
Cash / Self-Pay
$1,516

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,617

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,516 (1419%)
Insurance Median: $1,617 (1514%)
Cash: $1,516 (1419% of Medicare)
Ins. Median: $1,617 (1514% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1514% of the Medicare baseline (a markup of 1414%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $687 - $1,819 643%
Ambetter / Centene $687 643%
Blue Cross Blue Shield $687 - $1,920 643%
Humana $687 - $1,718 643%
Tricare $687 643%
Triwest $687 643%
UnitedHealthcare $687 643%
Veteran'S Affairs $687 643%
Healthlink $1,314 1230%
First Health $1,617 1514%
Mercy - C.B. Management Company/Joplin Supply Company $1,617 1514%
Mercy - City Of Springfield $1,617 1514%
Mercy - Clayco $1,617 1514%
Mercy - Commerce Bank $1,617 1514%
Mercy - Diversified Plastics $1,617 1514%
Mercy - Employers Benefit Alliance $1,617 1514%
Mercy - Evolutions $1,617 1514%
Mercy - Fabick Cat $1,617 1514%
Mercy - Firsthealth Network $1,617 1514%
Mercy - Health Management Network $1,617 1514%
Mercy - Health Systems Inc $1,617 1514%
Mercy - Liberty Utilities/Empire District Electric $1,617 1514%
Mercy - Life Church $1,617 1514%
Mercy - Missouri State University $1,617 1514%
Mercy - Prime Health Services $1,617 1514%
Mercy - Quiktrip Corporation $1,617 1514%
Mercy - Shinesolar $1,617 1514%
Mercy - Springfield Public Schools $1,617 1514%
Mercy - Springfield Remanufacturing $1,617 1514%
Mercy - Sumnerone $1,617 1514%
Mercy - Trailiner $1,617 1514%
Mercy - Walmart Mercy Accountable Care Plan $1,617 1514%
Mercy-American Healthcare Alliance $1,617 1514%
Phcs $1,617 - $1,718 1514%
Cigna $1,716 1607%
Mercy - Compresults $1,819 1703%
Mercy - Corvel Corporation $1,819 1703%
Mercy - Novasys $1,819 1703%
Mercy - Scurlock Industries $1,819 1703%
Mercy - Usa Managed Care Organization $1,819 1703%
Right Choice-Alliance $1,920 1798%
Right Choice-Regular $1,961 1836%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Po Box 774, Salem, MO 65560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals