CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $883
  • Cash Discount Price: $1,025
  • vs. Medicare Baseline: 8.27x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercy Hospital Watonga, Inc is $883. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,025. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.27x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.
Cash / Self-Pay
$1,025

Average discount available for prompt cash payment at this facility.

Insurance Median
$883

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: $1,025 (960%)
Insurance Median: $883 (827%)
Cash: $1,025 (960% of Medicare)
Ins. Median: $883 (827% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 827% of the Medicare baseline (a markup of 727%). 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 $57 - $1,202 53%
Humana $57 - $603 53%
Medicaid / KanCare $57 - $473 53%
Health Choice Contracted [320166] $292 273%
Ambetter / Centene $473 443%
Home State Health Plan Contracted [320187] $473 443%
Novasys Contracted [320285] $473 443%
Blue Cross Blue Shield $603 - $946 565%
Cherokee Nation Health Serv Contracted [320066] $603 565%
Cross Timbers Hospice [20098] $603 565%
Dept Of Veteran Affairs Contracted [320106] $603 565%
Elara Caring Aspire Hospice Contracted [320433] $603 565%
Elara Caring Aspire Hospice [20433] $603 565%
Halo Hcr Inc Hospice Contracted [320432] $603 565%
Halo Hcr Inc Hospice [20432] $603 565%
Independent Health [20197] $603 565%
Indian Health Service Contracted [320198] $603 565%
Kindful Hospice Contracted [320434] $603 565%
Kindful Hospice [20434] $603 565%
Medical Associates Health [20444] $603 565%
Medicare (plans) $603 - $883 565%
Mercy Hospice Okc [20252] $603 565%
Provider Partners Health Plans Contracted [320450] $603 565%
Qual Choice Contracted [320325] $603 565%
Tribute Health Plan Mcr Contracted [320338] $603 565%
Tricare $603 565%
UnitedHealthcare $603 - $1,249 565%
Globalhealth Contracted [320145] $615 576%
Cigna $622 - $1,340 582%
Webtpa Contracted [320417] $662 620%
Medica Contracted [320239] $883 827%
Aither Health Contracted [320449] $946 - $1,340 886%
Mercy Benefit Admin Contracted [320251] $946 - $1,340 886%
Quik Trip Contracted [320447] $946 886%
Show-Me Health Administrators Contracted [320483] $946 886%
Benefit Management Contracted [320052] $1,025 - $1,183 960%
Healthsmart Accel Contracted [320183] $1,104 1034%
Osma Health Contracted [320292] $1,104 1034%
Healthcare Highways Plus Contracted [320175] $1,183 1108%
Preferred Community Choice Contracted [320311] $1,183 1108%
Private Health Care Systems Contracted [320320] $1,183 - $1,262 1108%
United Medical Resources Contracted [320454] $1,249 1169%
Multiplan Contracted [320270] $1,262 - $1,419 1182%
First Health Contracted [320128] $1,279 1197%
Auxiant Contracted [320462] $1,340 1255%
Ebms Contracted [320493] $1,340 1255%
Healthlink Contracted [320179] $1,340 1255%
Healthsmart Preferred Care Contracted [320184] $1,340 1255%
Imagine 360 Contracted [320494] $1,340 1255%
Reflect Health Contracted [320492] $1,340 1255%
Yuzu Health Contracted [320521] $1,340 1255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 North Clarence Nash Boulevard, Watonga, OK 73772
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals