CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Mercy Hospital Lincoln
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $322
- Cash Discount Price: $1,048
- vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Hospital Lincoln is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,048. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.80x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$1,048
Average discount available for prompt cash payment at this facility.
Insurance Median
$322
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: $1,048 (585%)
Insurance Median: $322 (180%)
Cash: $1,048 (585% of Medicare)
Ins. Median: $322 (180% 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 |
|---|---|---|
| Medicaid / KanCare | $25 - $1,306 | 14% |
| Aetna | $57 - $1,864 | 32% |
| Tricare | $81 - $609 | 45% |
| Medicare (plans) | $82 - $2,846 | 46% |
| UnitedHealthcare | $83 - $1,878 | 46% |
| American Health Advantage Of Mo Mcr [10473] | $89 - $670 | 50% |
| Blue Cross Blue Shield | $89 - $2,191 | 50% |
| Cherokee Nation Health Serv Contracted [320066] | $89 - $670 | 50% |
| Cross Timbers Hospice [20098] | $89 - $670 | 50% |
| Dept Of Veteran Affairs Contracted [320106] | $89 - $670 | 50% |
| Elara Caring Aspire Hospice Contracted [320433] | $89 - $670 | 50% |
| Elara Caring Aspire Hospice [20433] | $89 - $670 | 50% |
| Globalhealth Contracted [320145] | $89 - $670 | 50% |
| Halo Hcr Inc Hospice Contracted [320432] | $89 - $670 | 50% |
| Halo Hcr Inc Hospice [20432] | $89 - $670 | 50% |
| Humana | $89 - $2,561 | 50% |
| Indian Health Service Contracted [320198] | $89 - $670 | 50% |
| Kindful Hospice Contracted [320434] | $89 - $670 | 50% |
| Kindful Hospice [20434] | $89 - $670 | 50% |
| Mercy Hospice Okc [20252] | $89 - $670 | 50% |
| Pace Of The Ozarks Contracted [320518] | $89 - $670 | 50% |
| Provider Partners Health Plans Contracted [320450] | $89 - $666 | 50% |
| Qual Choice Contracted [320325] | $89 - $670 | 50% |
| Cigna | $95 - $2,362 | 53% |
| Centivo Contracted [320505] | $138 - $1,033 | 77% |
| Medica Contracted [320239] | $159 - $1,195 | 89% |
| Ambetter / Centene | $174 - $1,306 | 97% |
| Home State Health Plan Contracted [320187] | $174 - $1,306 | 97% |
| Novasys Contracted [320285] | $174 - $1,306 | 97% |
| Hope Trust Contracted [320488] | $188 - $1,409 | 105% |
| Health Choices Contracted [320448] | $227 - $1,708 | 127% |
| Health Choices [20448] | $227 - $1,708 | 127% |
| Medical Associates Health Contracted [320444] | $227 - $1,708 | 127% |
| First Health Contracted [320128] | $248 - $1,864 | 138% |
| United Medical Resources Contracted [320454] | $250 - $1,878 | 140% |
| Mercy Mgd Behavioral Health Contracted [320259] | $284 | 158% |
| Multiplan Contracted [320270] | $284 - $2,134 | 158% |
| Private Health Care Systems Contracted [320320] | $284 | 158% |
| Workers Comp [20426] | $284 - $2,277 | 158% |
| Healthlink Contracted [320179] | $307 - $2,533 | 171% |
| Aither Health Contracted [320449] | $322 - $2,419 | 180% |
| Aither Health [20449] | $322 - $2,419 | 180% |
| Auxiant Contracted [320462] | $322 - $2,419 | 180% |
| Ebms Contracted [320493] | $322 - $2,419 | 180% |
| Edison Health Solutions Contracted [320502] | $322 - $2,419 | 180% |
| Federal Medical Center Contracted [320127] | $322 - $2,419 | 180% |
| Imagine 360 Contracted [320494] | $322 - $2,419 | 180% |
| Insurance System Inc Contracted [320465] | $322 - $2,419 | 180% |
| Mercy Benefit Admin Contracted [320251] | $322 - $2,419 | 180% |
| Mercy Benefit Admin [20251] | $322 - $2,419 | 180% |
| Point C Contracted [320238] | $322 - $2,419 | 180% |
| Preferred Health Plan Contracted [320522] | $322 - $2,419 | 180% |
| Reflect Health Contracted [320492] | $322 - $2,419 | 180% |
| Show-Me Health Administrators Contracted [320483] | $322 - $2,419 | 180% |
| Tri State Healthcare Coalition Contracted [320379] | $322 - $2,419 | 180% |
| Yuzu Health Contracted [320521] | $322 - $2,419 | 180% |