CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $633
  • Cash Discount Price: $664
  • vs. Medicare Baseline: 3.53x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ste Genevieve County Memorial Hospital is $633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $664. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.53x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.
Cash / Self-Pay
$664

Average discount available for prompt cash payment at this facility.

Insurance Median
$633

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: $664 (371%)
Insurance Median: $633 (353%)
Cash: $664 (371% of Medicare)
Ins. Median: $633 (353% 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 353% of the Medicare baseline (a markup of 253%). 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 $31 - $1,950 17%
Allwell $31 - $646 17%
Blue Cross Blue Shield $31 - $2,742 17%
Medicare (plans) $31 - $633 17%
Va $31 - $633 17%
Pphp $35 - $728 20%
Ambetter / Centene $38 - $792 21%
Meritain $95 - $1,950 53%
Multiplan/Phcs $105 - $2,153 59%
Medicaid / KanCare $199 111%
Homestate $207 116%
Healthy_Blue $239 133%
Uhc_Community $239 133%
UnitedHealthcare $452 - $1,266 252%
Healthlink_Hmo $461 - $915 257%
Healthlink_Compmanagement $492 - $976 275%
Healthlink_Ppo $492 - $976 275%
Cigna $2,077 1159%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Hwys 61 & 32, Sainte Genevieve, MO 63670
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals