CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ascension St John Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $178
Cash Discount Price: $883
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ascension St John Medical Center is $178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $883. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.99x the Medicare baseline. Located in 1923 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

$883

Average discount available for prompt cash payment at this facility.

Insurance Median

$178

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: $883 (493%)

Insurance Median: $178 (99%)

Cash: $883 (493% of Medicare)

Ins. Median: $178 (99% 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.

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
First Health	$71 - $316	40%
Aetna	$107	60%
Champva	$169	94%
Community Care - St John Network Senior - Govt	$169	94%
Communitycare Senior	$169	94%
Life Pace	$169	94%
Longevity Health Plan Of Oklahoma	$169	94%
Medicare (plans)	$169	94%
UnitedHealthcare	$169 - $677	94%
Va Community Care Network	$169	94%
Veterans Administration	$169	94%
Humana	$171	95%
Blue Cross Blue Shield	$178 - $386	99%
Communitycare (Standard)	$186	104%
Community Care (Select) 7/1/13	$203	113%
Ccl&H	$220	123%
Smarthealth	$237	132%
Community Care Smarthealth	$254 - $406	142%
Communitycare (Select)	$254 - $389	142%
Connect Health Benefit	$339	189%
Evolutions	$339	189%
Kempton Group Administrators	$381	213%

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 $883.
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 Ascension St John Medical 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.