CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,669
  • Cash Discount Price: $1,937
  • vs. Medicare Baseline: 9.31x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mercy Hospital Watonga, Inc is $1,669. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,937. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.31x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.
Cash / Self-Pay
$1,937

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,669

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: $1,937 (1081%)
Insurance Median: $1,669 (931%)
Cash: $1,937 (1081% of Medicare)
Ins. Median: $1,669 (931% 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 931% of the Medicare baseline (a markup of 831%). 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 $82 - $2,271 46%
Humana $82 - $1,140 46%
Medicaid / KanCare $82 - $894 46%
Health Choice Contracted [320166] $490 273%
Ambetter / Centene $894 499%
Home State Health Plan Contracted [320187] $894 499%
Novasys Contracted [320285] $894 499%
Blue Cross Blue Shield $1,140 - $1,788 636%
Cherokee Nation Health Serv Contracted [320066] $1,140 636%
Cross Timbers Hospice [20098] $1,140 636%
Dept Of Veteran Affairs Contracted [320106] $1,140 636%
Elara Caring Aspire Hospice Contracted [320433] $1,140 636%
Elara Caring Aspire Hospice [20433] $1,140 636%
Halo Hcr Inc Hospice Contracted [320432] $1,140 636%
Halo Hcr Inc Hospice [20432] $1,140 636%
Independent Health [20197] $1,140 636%
Indian Health Service Contracted [320198] $1,140 636%
Kindful Hospice Contracted [320434] $1,140 636%
Kindful Hospice [20434] $1,140 636%
Medical Associates Health [20444] $1,140 636%
Medicare (plans) $1,140 - $1,669 636%
Mercy Hospice Okc [20252] $1,140 636%
Provider Partners Health Plans Contracted [320450] $1,140 636%
Qual Choice Contracted [320325] $1,140 636%
Tribute Health Plan Mcr Contracted [320338] $1,140 636%
Tricare $1,140 636%
UnitedHealthcare $1,140 - $2,360 636%
Globalhealth Contracted [320145] $1,163 649%
Cigna $1,174 - $2,533 655%
Webtpa Contracted [320417] $1,252 699%
Medica Contracted [320239] $1,669 931%
Aither Health Contracted [320449] $1,788 - $2,533 998%
Mercy Benefit Admin Contracted [320251] $1,788 - $2,533 998%
Quik Trip Contracted [320447] $1,788 998%
Show-Me Health Administrators Contracted [320483] $1,788 998%
Benefit Management Contracted [320052] $1,937 - $2,235 1081%
Healthsmart Accel Contracted [320183] $2,086 1164%
Osma Health Contracted [320292] $2,086 1164%
Healthcare Highways Plus Contracted [320175] $2,235 1247%
Preferred Community Choice Contracted [320311] $2,235 1247%
Private Health Care Systems Contracted [320320] $2,235 - $2,384 1247%
United Medical Resources Contracted [320454] $2,360 1317%
Multiplan Contracted [320270] $2,384 - $2,682 1330%
First Health Contracted [320128] $2,417 1349%
Auxiant Contracted [320462] $2,533 1414%
Ebms Contracted [320493] $2,533 1414%
Healthlink Contracted [320179] $2,533 1414%
Healthsmart Preferred Care Contracted [320184] $2,533 1414%
Imagine 360 Contracted [320494] $2,533 1414%
Reflect Health Contracted [320492] $2,533 1414%
Yuzu Health Contracted [320521] $2,533 1414%

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