CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Children's Nebraska

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,376
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.68x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Children's Nebraska is $1,376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.68x the Medicare baseline. Located in 8200 Dodge St, Omaha, NE.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,376

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%)
Insurance Median: $1,376 (768%)
Ins. Median: $1,376 (768% 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 768% of the Medicare baseline (a markup of 668%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $218 - $1,376 122%
Wellpoint $218 122%
Molina (Iowa) $226 126%
Ambetter / Centene $358 200%
Molina (Nebraska) $660 368%
UnitedHealthcare $691 - $768 386%
Midlands Choice Chi $3,107 1734%
Blue Cross Blue Shield $3,196 - $3,551 1783%
Midlands Choice Elevate $3,551 1982%
Avera Health Plan $3,773 2105%
Centivo $3,773 2105%
Wellmark $3,773 2105%
Aetna $3,906 2180%
Midlands Choice $3,906 2180%
Sanford Health Plan $3,906 2180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8200 Dodge St, Omaha, NE 68114
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens