CMS Price Transparency Data

CT scan, head (no contrast)

Facility: CHI Health Plainview Hospital

Billing Code: 70450 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$661
about 6.2× the $107 Medicare rate · typically $159–$2,687
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $661 Cash price $2,150 Hospital's list price $2,560

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,562 - $2,432 1462%
Blue Cross Blue Shieldmajor $1,335 - $2,432 1250%
Humanamajor $1,562 1462%
Ambetter (Centene) $1,593 - $1,664 1491%
Amerigroup $1,640 1535%
Medica $1,562 - $2,458 1462%
Molina $1,731 1621%
+ 9 smaller / regional plans $1,562 - $3,467
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: P O Box 489, 704 North Third St, Plainview, NE 68769
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals