CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Pawhuska Hospital, Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,371
Cash Discount Price: $1,082
vs. Medicare Baseline: 7.65x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Pawhuska Hospital, Inc is $1,371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,082. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.65x the Medicare baseline. Located in 1101 East 15Th Street, Pawhuska, OK.

Cash / Self-Pay

$1,082

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,371

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: $1,082 (604%)

Insurance Median: $1,371 (765%)

Cash: $1,082 (604% of Medicare)

Ins. Median: $1,371 (765% 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 765% of the Medicare baseline (a markup of 665%). 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
Community Care Comm - All Plans	$448	250%
Healthchoice Ip/Op Only - All Plans	$547	305%
Blue Cross Blue Shield	$974 - $1,585	544%
Aetna	$1,082 - $1,865	604%
Tricare	$1,082	604%
UnitedHealthcare	$1,082 - $1,343	604%
Wellcare Mcr Adv - All Plans	$1,082	604%
Humana	$1,093 - $1,865	610%
Healthcare Highways - All Plans	$1,212	676%
Cigna	$1,268	708%
Multiplan - All Plans	$1,399	781%
Ambetter / Centene	$1,623	906%
Preferred Commchoice Ip/Op Only - All Plans	$1,678	936%
Soonerselect Mcaid - All Plans	$1,865	1041%

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 $1,082.
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 Pawhuska Hospital, 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.