CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,026
Cash Discount Price: $2,352
vs. Medicare Baseline: 11.31x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Hospital Watonga, Inc is $2,026. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,352. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.31x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.

Cash / Self-Pay

$2,352

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,026

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: $2,352 (1313%)

Insurance Median: $2,026 (1131%)

Cash: $2,352 (1313% of Medicare)

Ins. Median: $2,026 (1131% 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 1131% of the Medicare baseline (a markup of 1031%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$99 - $2,757	55%
Humana	$99 - $1,384	55%
Medicaid / KanCare	$99 - $1,085	55%
Health Choice Contracted [320166]	$490	273%
Ambetter / Centene	$1,085	605%
Home State Health Plan Contracted [320187]	$1,085	605%
Novasys Contracted [320285]	$1,085	605%
Blue Cross Blue Shield	$1,384 - $2,171	772%
Cherokee Nation Health Serv Contracted [320066]	$1,384	772%
Cross Timbers Hospice [20098]	$1,384	772%
Dept Of Veteran Affairs Contracted [320106]	$1,384	772%
Elara Caring Aspire Hospice Contracted [320433]	$1,384	772%
Elara Caring Aspire Hospice [20433]	$1,384	772%
Halo Hcr Inc Hospice Contracted [320432]	$1,384	772%
Halo Hcr Inc Hospice [20432]	$1,384	772%
Independent Health [20197]	$1,384	772%
Indian Health Service Contracted [320198]	$1,384	772%
Kindful Hospice Contracted [320434]	$1,384	772%
Kindful Hospice [20434]	$1,384	772%
Medical Associates Health [20444]	$1,384	772%
Medicare (plans)	$1,384 - $2,026	772%
Mercy Hospice Okc [20252]	$1,384	772%
Provider Partners Health Plans Contracted [320450]	$1,384	772%
Qual Choice Contracted [320325]	$1,384	772%
Tribute Health Plan Mcr Contracted [320338]	$1,384	772%
Tricare	$1,384	772%
UnitedHealthcare	$1,384 - $2,865	772%
Globalhealth Contracted [320145]	$1,412	788%
Cigna	$1,426 - $3,075	796%
Webtpa Contracted [320417]	$1,520	848%
Medica Contracted [320239]	$2,026	1131%
Aither Health Contracted [320449]	$2,171 - $3,075	1211%
Mercy Benefit Admin Contracted [320251]	$2,171 - $3,075	1211%
Quik Trip Contracted [320447]	$2,171	1211%
Show-Me Health Administrators Contracted [320483]	$2,171	1211%
Benefit Management Contracted [320052]	$2,352 - $2,714	1313%
Healthsmart Accel Contracted [320183]	$2,533	1414%
Osma Health Contracted [320292]	$2,533	1414%
Healthcare Highways Plus Contracted [320175]	$2,714	1515%
Preferred Community Choice Contracted [320311]	$2,714	1515%
Private Health Care Systems Contracted [320320]	$2,714 - $2,894	1515%
United Medical Resources Contracted [320454]	$2,865	1599%
Multiplan Contracted [320270]	$2,894 - $3,256	1615%
First Health Contracted [320128]	$2,934	1637%
Auxiant Contracted [320462]	$3,075	1716%
Ebms Contracted [320493]	$3,075	1716%
Healthlink Contracted [320179]	$3,075	1716%
Healthsmart Preferred Care Contracted [320184]	$3,075	1716%
Imagine 360 Contracted [320494]	$3,075	1716%
Reflect Health Contracted [320492]	$3,075	1716%
Yuzu Health Contracted [320521]	$3,075	1716%

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 $2,352.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital Watonga, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.