CMS Price Transparency Data

CT scan, head (no contrast)

Facility: The Children's Mercy Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $89
Cash Discount Price: $657
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at The Children's Mercy Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $657. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.83x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$657

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $657 (615%)

Insurance Median: $89 (83%)

Cash: $657 (615% of Medicare)

Ins. Median: $89 (83% 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.

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
UnitedHealthcare	$35 - $1,760	33%
Healthy Blue	$37 - $273	35%
Medicaid / KanCare	$37 - $70	35%
Cigna	$39 - $1,820	37%
Home State Health	$48 - $240	45%
Wppa Providrs Care	$51 - $1,702	48%
Healthlink	$52 - $2,305	49%
Health Midwest Comprehensive Care	$54 - $1,705	51%
American Healthcare Alliance	$57 - $2,226	53%
Quiktrip	$60 - $1,705	56%
Medica	$70 - $1,527	66%
Multiplan	$74 - $1,990	69%
Blue Cross Blue Shield	$75 - $1,938	70%
Wellfit/Centrus	$75 - $1,702	70%
Aetna	$77 - $1,781	72%
Centivo	$77 - $1,702	72%
Humana	$78 - $1,742	73%
Orscheln	$79 - $1,702	74%
Nebraska Furniture Mart	$80 - $1,702	75%
Mercy Health	$88 - $1,964	82%
Coxhealth Network	$89 - $1,938	83%
Coventry Health Care Of Kansas	$97 - $1,938	91%
National Preferred Provider Network	$106 - $2,357	99%

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 $657.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The Children's Mercy Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.