CMS Price Transparency Data

CT scan, head (with contrast)

Facility: The Children's Mercy Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $118
Cash Discount Price: $942
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at The Children's Mercy Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $942. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.66x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$942

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $942 (526%)

Insurance Median: $118 (66%)

Cash: $942 (526% of Medicare)

Ins. Median: $118 (66% 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	$46 - $2,529	26%
Healthy Blue	$49 - $456	27%
Medicaid / KanCare	$50 - $118	28%
Cigna	$51 - $2,616	28%
Home State Health	$63 - $401	35%
Healthlink	$69 - $3,312	39%
Wppa Providrs Care	$69 - $2,447	39%
Health Midwest Comprehensive Care	$73 - $2,450	41%
American Healthcare Alliance	$76 - $3,199	42%
Quiktrip	$80 - $2,450	45%
Medica	$93 - $2,194	52%
Blue Cross Blue Shield	$99 - $2,785	55%
Multiplan	$99 - $2,861	55%
Wellfit/Centrus	$100 - $2,447	56%
Aetna	$102 - $2,560	57%
Centivo	$103 - $2,447	57%
Humana	$104 - $2,503	58%
Orscheln	$105 - $2,447	59%
Nebraska Furniture Mart	$106 - $2,447	59%
Mercy Health	$116 - $2,823	65%
Coxhealth Network	$118 - $2,785	66%
Coventry Health Care Of Kansas	$129 - $2,785	72%
National Preferred Provider Network	$140 - $3,388	78%

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 $942.
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 The Children's Mercy 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.