CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mary Lanning Healthcare

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,628
Cash Discount Price: $2,867
vs. Medicare Baseline: 14.67x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mary Lanning Healthcare is $2,628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,867. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 14.67x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$2,867

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,628

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: $2,867 (1600%)

Insurance Median: $2,628 (1467%)

Cash: $2,867 (1600% of Medicare)

Ins. Median: $2,628 (1467% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1467% of the Medicare baseline (a markup of 1367%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Tricare	$171	95%
Aetna	$182 - $2,804	102%
Blue Cross Blue Shield	$182 - $3,186	102%
Medica Mcr Adv	$182	102%
Ne Total Care Mcr Adv	$182	102%
UnitedHealthcare	$182 - $3,027	102%
Va Ccn - All Plans	$182	102%
Ambetter / Centene	$820	458%
Nhn/Mna-All Plans	$2,581	1440%
Consociate Inc-All Plans	$2,676	1493%
Medica-All Other Plans	$2,772	1547%
Midlands Choice-All Plans	$2,867	1600%
Provider Network Of America-All Plans	$2,867	1600%
Multiplan-All Plans	$3,027	1689%
Workers Compensation-All Plans	$3,122	1742%

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 $2,867.
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 Mary Lanning Healthcare 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.