CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mercy St Francis Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,137
Cash Discount Price: $1,543
vs. Medicare Baseline: 11.93x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mercy St Francis Hospital is $2,137. 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 11.93x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.

Cash / Self-Pay

$1,543

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,137

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: $2,137 (1193%)

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

Ins. Median: $2,137 (1193% 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 1193% of the Medicare baseline (a markup of 1093%). 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 - $1,232	56%
Medicare (plans)	$166 - $848	93%
Blue Cross Blue Shield	$167 - $2,303	93%
UnitedHealthcare	$234 - $2,255	131%
Tricare	$807	450%
Aetna	$814 - $2,113	454%
Cherokee Nation Health Serv Contracted [320066]	$814	454%
Cigna	$814 - $2,255	454%
Cross Timbers Hospice [20098]	$814	454%
Dept Of Veteran Affairs Contracted [320106]	$814	454%
Elara Caring Aspire Hospice [20433]	$814	454%
Globalhealth Contracted [320145]	$814	454%
Halo Hcr Inc Hospice Contracted [320432]	$814	454%
Halo Hcr Inc Hospice [20432]	$814	454%
Humana	$814 - $2,137	454%
Indian Health Service Contracted [320198]	$814	454%
Kindful Hospice Contracted [320434]	$814	454%
Kindful Hospice [20434]	$814	454%
Medical Associates Health Contracted [320444]	$814	454%
Mercy Hospice Okc [20252]	$814	454%
Mercy Mgd Behavioral Health Contracted [320259]	$814	454%
Pace Of The Ozarks Contracted [320518]	$814	454%
Provider Partners Health Plans Contracted [320450]	$814	454%
Qual Choice Contracted [320325]	$814	454%
Administrative Payor Contracted [320005]	$1,068	596%
Healthscope Contracted [320182]	$1,083	604%
Ambetter / Centene	$1,232	688%
Home State Health Plan Contracted [320187]	$1,232	688%
Novasys Contracted [320285]	$1,232	688%
Centivo Contracted [320505]	$1,377	768%
Healthlink Contracted [320179]	$1,543 - $2,255	861%
Preferred Health Plan Contracted [320522]	$1,543	861%
Workers Comp [20426]	$1,899 - $2,018	1060%
Auxiant Contracted [320462]	$2,137 - $2,255	1193%
Mercy Benefit Admin Contracted [320251]	$2,137 - $2,255	1193%
Point C Contracted [320238]	$2,137 - $2,255	1193%
United Medical Resources Contracted [320454]	$2,137 - $2,208	1193%
Medica Contracted [320239]	$2,243	1252%
90 Degree Benefits Contracted [320436]	$2,255	1258%
Aither Health Contracted [320449]	$2,255	1258%
Benefit Management Contracted [320052]	$2,255	1258%
Ebms Contracted [320493]	$2,255	1258%
Edison Health Solutions Contracted [320502]	$2,255	1258%
Evolutions Health Care Contracted [320124]	$2,255	1258%
First Health Contracted [320128]	$2,255	1258%
Health Systems Inc Contracted [320174]	$2,255	1258%
Imagine 360 Contracted [320494]	$2,255	1258%
Insurance System Inc Contracted [320465]	$2,255	1258%
Multiplan Contracted [320270]	$2,255	1258%
Point C [20238]	$2,255	1258%
Private Health Care Systems Contracted [320320]	$2,255	1258%
Reflect Health Contracted [320492]	$2,255	1258%
Show-Me Health Administrators Contracted [320483]	$2,255	1258%
Usa Managed Care Org Contracted [320429]	$2,255	1258%
Yuzu Health Contracted [320521]	$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 St Francis Hospital 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.