CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercy Rehabilitation Hospital Springfield

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $294
  • Cash Discount Price: $294
  • vs. Medicare Baseline: 2.75x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercy Rehabilitation Hospital Springfield is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.75x the Medicare baseline. Located in 5904 S Southwood Rd, Springfield, MO.
Cash / Self-Pay
$294

Average discount available for prompt cash payment at this facility.

Insurance Median
$294

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: $294 (275%)
Insurance Median: $294 (275%)
Cash: $294 (275% of Medicare)
Ins. Median: $294 (275% 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 275% of the Medicare baseline (a markup of 175%). 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 $177 - $294 166%
Blue Preferred $213 199%
Firsthealth Network $215 201%
Blue Cross Blue Shield $224 - $294 210%
Healthlink Workcomp $250 234%
Allwell From Home State Health $294 275%
Allyalign Health (Nhc Advantage) $294 275%
Ambetter / Centene $294 275%
Architectural Systems, Inc. (Asi) $294 275%
Ava R1 School District (Smbc) $294 275%
Bakersfield School District (Smbc) $294 275%
Blue Access $294 275%
Bolivar School (Smbc) $294 275%
Buchheit $294 275%
Cardinal Scale (Tri State Healthcare Coalition) $294 275%
Carthage R-9 School District (Tri-State Healthcare Coalition) $294 275%
Cigna $294 275%
City Of Springfield $294 275%
City Of Webb City (Tri State Healthcare Coalition) $294 275%
Devoted Healthcare $294 275%
Diversified Plastics $294 275%
Dora School District (Smbc) $294 275%
Easter Seals Midwest $294 275%
Employers Benefit Alliance $294 275%
Essence $294 275%
Evolutions $294 275%
Fabick Cat $294 275%
Fair Grove School District (Smbc) $294 275%
Health Net Federal Services $294 275%
Health Systems, Inc. $294 275%
Healthlink Hmo $294 275%
Healthlink Ppo $294 275%
Heart Of America (Tri State Healthcare Coalition &Amp;#8211; Med Pay) $294 275%
Hickory County Skyline School District (Smbc) $294 275%
Home State Health Plan, Inc. $294 275%
Humana $294 275%
J And M Farms, Inc. (Tri-State Healthcare Coalition) $294 275%
Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) $294 275%
Laclede County School District Conway (Smbc) $294 275%
Lebanon School District (Smbc) $294 275%
Liberty Utilities (Empire District Electric) $294 275%
Marshfield School District (Smbc) $294 275%
Medica $294 275%
Medicaid / KanCare $294 275%
Mercy Charity Contract $294 275%
Mers Goodwill $294 275%
Missouri State University $294 275%
Mount Vernon School District (Smbc) $294 275%
Mountain Grove R-111 School District (Smbc) $294 275%
Mountain View School District (Smbc) $294 275%
Multiplan/Phcs/Beech Street $294 275%
Ozarks Community Hospital $294 275%
Pathway/Pathway X $294 275%
Phcs Savility $294 275%
Quality Collisson Group $294 275%
Quiktrip Corporation $294 275%
Richards R-V School District (Smbc) $294 275%
Roper Automotive Group (Tri State Healthcare Coalition) $294 275%
S And H Farm Supply $294 275%
Schreiber Foods $294 275%
Shinesolar $294 275%
Springfield Public Schools $294 275%
Springfield Remanufacturing $294 275%
Trailiner $294 275%
UnitedHealthcare $294 275%
Webb City R-Vii School District (Tri-State Healthcare Coalition) $294 275%
Wellcare Health Plans $294 275%
Woodard Cleaning &Amp;#038; Restoration, Inc. $294 275%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5904 S Southwood Rd, Springfield, MO 65804
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL