CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mercy Hospital Marietta

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,682
Cash Discount Price: $2,804
vs. Medicare Baseline: 9.39x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mercy Hospital Marietta is $1,682. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,804. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.39x the Medicare baseline. Located in 300 Wanda Street, Marietta, OK.

Cash / Self-Pay

$2,804

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,682

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: $2,804 (1565%)

Insurance Median: $1,682 (939%)

Cash: $2,804 (1565% of Medicare)

Ins. Median: $1,682 (939% 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 939% of the Medicare baseline (a markup of 839%). 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	$82 - $1,954	46%
Humana	$82 - $908	46%
Medicaid / KanCare	$82	46%
Blue Cross Blue Shield	$908 - $1,486	507%
Cross Timbers Hospice [20098]	$908	507%
Elara Caring Aspire Hospice Contracted [320433]	$908	507%
Elara Caring Aspire Hospice [20433]	$908	507%
Halo Hcr Inc Hospice Contracted [320432]	$908	507%
Halo Hcr Inc Hospice [20432]	$908	507%
Independent Health [20197]	$908	507%
Indian Health Service Contracted [320198]	$908	507%
Kindful Hospice Contracted [320434]	$908	507%
Kindful Hospice [20434]	$908	507%
Medical Associates Health [20444]	$908	507%
Medicare (plans)	$908 - $953	507%
Mercy Hospice Okc [20252]	$908	507%
UnitedHealthcare	$953 - $1,963	532%
Tricare	$960	536%
Cigna	$993 - $2,103	554%
Webtpa Contracted [320417]	$1,178	657%
Aither Health Contracted [320449]	$1,682 - $2,383	939%
Mercy Benefit Admin Contracted [320251]	$1,682 - $2,524	939%
Quik Trip Contracted [320447]	$1,682	939%
Show-Me Health Administrators Contracted [320483]	$1,682	939%
Osma Health Contracted [320292]	$1,963	1095%
United Medical Resources Contracted [320454]	$1,963 - $2,524	1095%
First Health Contracted [320128]	$1,982	1106%
Benefit Management Contracted [320052]	$2,103 - $2,524	1174%
Healthcare Highways Plus Contracted [320175]	$2,103	1174%
Auxiant Contracted [320462]	$2,383 - $2,524	1330%
Ebms Contracted [320493]	$2,383	1330%
Healthlink Contracted [320179]	$2,383 - $2,524	1330%
Preferred Community Choice Contracted [320311]	$2,383	1330%
Federal Medical Center Contracted [320127]	$2,524	1408%
Healthscope Contracted [320182]	$2,524	1408%
Point C Contracted [320238]	$2,524	1408%
Preferred Health Plan Contracted [320522]	$2,524	1408%
Tri State Healthcare Coalition Contracted [320379]	$2,524	1408%

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 $2,804.
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 Mercy Hospital Marietta 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.