CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Phelps Memorial Health Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,190
Cash Discount Price: $2,463
vs. Medicare Baseline: 12.22x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Phelps Memorial Health Center is $2,190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,463. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.22x the Medicare baseline. Located in 1215 Tibbals St, Holdrege, NE.

Cash / Self-Pay

$2,463

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,190

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: $2,463 (1374%)

Insurance Median: $2,190 (1222%)

Cash: $2,463 (1374% of Medicare)

Ins. Median: $2,190 (1222% 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 1222% of the Medicare baseline (a markup of 1122%). 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
UnitedHealthcare	$1,122 - $2,655	626%
Aetna	$1,177 - $2,524	657%
Blue Cross Blue Shield	$1,177 - $2,600	657%
Good Samaritan Mcr Adv - All Plans	$1,177	657%
Medica Mcr Adv	$1,177	657%
Va Ccn - All Plans	$1,177	657%
Wellcare Mcr Adv - All Plans	$1,177	657%
Molina Mcaid - All Plans	$1,204	672%
Three Rivers - All Plans	$1,412	788%
6 Degrees Hlth - All Plans	$2,190	1222%
Partners Hlth Alliance - All Plans	$2,190	1222%
Cpi Benefit Group-All Plans	$2,463	1374%
Providrs Care/Wppa - All Plans	$2,463	1374%
Provider Network Of American - All Plans	$2,545	1420%
Medica-All Other Plans	$2,573	1436%
Chi Health Partners - All Plans	$2,600	1451%
Midwest Ntwrk Alliance - All Plans	$2,600	1451%
First Health - All Plans	$2,603	1453%
Ambetter / Centene	$3,060	1708%

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 $2,463.
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 Phelps Memorial Health Center 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.