CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St Louis Childrens Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $878
  • Cash Discount Price: $739
  • vs. Medicare Baseline: 8.22x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at St Louis Childrens Hospital is $878. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $739. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.22x the Medicare baseline. Located in One Childrens Place, Saint Louis, MO.
Cash / Self-Pay
$739

Average discount available for prompt cash payment at this facility.

Insurance Median
$878

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: $739 (692%)
Insurance Median: $878 (822%)
Cash: $739 (692% of Medicare)
Ins. Median: $878 (822% 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 822% of the Medicare baseline (a markup of 722%). 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 $103 - $973 96%
Blue Cross Blue Shield $103 - $1,047 96%
Essence Healthcare [221] $103 96%
Humana $103 - $918 96%
UnitedHealthcare $103 - $915 96%
Cox Health [757] $108 101%
Medica [662] $108 101%
Healthlink [225] $598 - $930 560%
Cigna $609 - $669 570%
Consociate [478] $668 625%
Sarah Bush Lincoln [636] $668 625%
Apwu Health Plan [216] $669 626%
Nalc Health Benefit Plan [242] $669 626%
Priority Health [648] $669 626%
Cox Health Systems Insurance Company [220] $678 - $912 635%
Allied Benefits [498] $715 - $973 669%
Hope Trust [806] $715 669%
Healthscope Benefits [258] $752 - $986 704%
Med-Pay [480] $801 - $924 750%
Unicare [568] $801 - $930 750%
First Health Commercial [734] $915 857%
Beechstreet [551] $924 865%
Detego Health [868] $924 865%
Health Systems Inc [620] $924 865%
Healthcare Sol Mercy [609] $924 865%
Multiplan Commercial [737] $924 865%
Multiplan [240] $924 865%
Phcs [244] $924 - $986 865%
Preferred Health Professionals [561] $930 871%
Coresource [497] $973 911%
Fmh Benefit Service Inc [222] $973 911%
Mail Handlers [495] $973 911%
Medica [661] $986 923%
Hfn [563] $1,047 980%
Health Alliance [224] $1,700 1592%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Childrens Place, Saint Louis, MO 63110
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens