CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: The Children's Mercy Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $132
Cash Discount Price: $1,128
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at The Children's Mercy Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,128. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.74x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$1,128

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $1,128 (629%)

Insurance Median: $132 (74%)

Cash: $1,128 (629% of Medicare)

Ins. Median: $132 (74% 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.

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	$52 - $3,037	29%
Healthy Blue	$56 - $456	31%
Medicaid / KanCare	$56 - $118	31%
Cigna	$58 - $3,141	32%
Home State Health	$63 - $401	35%
Healthlink	$77 - $3,978	43%
Wppa Providrs Care	$77 - $2,938	43%
Health Midwest Comprehensive Care	$82 - $2,943	46%
American Healthcare Alliance	$85 - $3,842	47%
Quiktrip	$90 - $2,943	50%
Medica	$104 - $2,635	58%
Blue Cross Blue Shield	$112 - $3,345	63%
Multiplan	$112 - $3,435	63%
Wellfit/Centrus	$113 - $2,938	63%
Aetna	$115 - $3,074	64%
Centivo	$117 - $2,938	65%
Humana	$117 - $3,006	65%
Orscheln	$118 - $2,938	66%
Nebraska Furniture Mart	$119 - $2,938	66%
Mercy Health	$131 - $3,390	73%
Coxhealth Network	$132 - $3,345	74%
Coventry Health Care Of Kansas	$145 - $3,345	81%
National Preferred Provider Network	$158 - $4,068	88%

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 $1,128.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.