CMS Price Transparency Data

CT scan, head (with contrast)

Facility: McAlester Regional Health Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $393
  • Cash Discount Price: $887
  • vs. Medicare Baseline: 2.19x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at McAlester Regional Health Center is $393. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $887. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.19x the Medicare baseline. Located in One Clark Bass Boulevard, McAlester, OK.
Cash / Self-Pay
$887

Average discount available for prompt cash payment at this facility.

Insurance Median
$393

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: $887 (495%)
Insurance Median: $393 (219%)
Cash: $887 (495% of Medicare)
Ins. Median: $393 (219% 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 219% of the Medicare baseline (a markup of 119%). 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.

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
Aetna $181 101%
Blue Cross Blue Shield $181 - $393 101%
Choctaw Nation $181 101%
Global Health $181 - $317 101%
Coventry $1,774 - $1,974 990%
Okla Health Network $1,885 1052%
Osma Health $1,952 1089%
Preferred Choice Community $1,952 1089%
Phcs $1,996 1114%
Beech Street $2,063 1151%
Cigna $2,063 1151%
Geha $2,085 1164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Clark Bass Boulevard, McAlester, OK 74501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals