CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Ascension St John Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $106
  • Cash Discount Price: $892
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Ascension St John Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $892. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 1923 South Utica Avenue, Tulsa, OK.
Cash / Self-Pay
$892

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $892 (835%)
Insurance Median: $106 (99%)
Cash: $892 (835% of Medicare)
Ins. Median: $106 (99% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

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
First Health $54 - $244 51%
Aetna $74 69%
Champva $101 95%
Community Care - St John Network Senior - Govt $101 95%
Communitycare Senior $101 95%
Life Pace $101 95%
Longevity Health Plan Of Oklahoma $101 95%
Medicare (plans) $101 95%
UnitedHealthcare $101 - $405 95%
Va Community Care Network $101 95%
Veterans Administration $101 95%
Humana $102 95%
Blue Cross Blue Shield $106 - $295 99%
Communitycare (Standard) $111 104%
Community Care (Select) 7/1/13 $121 113%
Ccl&H $132 124%
Smarthealth $142 133%
Community Care Smarthealth $152 - $243 142%
Communitycare (Select) $152 - $233 142%
Connect Health Benefit $202 189%
Evolutions $202 189%
Kempton Group Administrators $228 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1923 South Utica Avenue, Tulsa, OK 74104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals