CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Hospital Logan County

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,096
Cash Discount Price: $2,321
vs. Medicare Baseline: 11.70x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Hospital Logan County is $2,096. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,321. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.70x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.

Cash / Self-Pay

$2,321

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,096

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: $2,321 (1295%)

Insurance Median: $2,096 (1170%)

Cash: $2,321 (1295% of Medicare)

Ins. Median: $2,096 (1170% 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 1170% of the Medicare baseline (a markup of 1070%). 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 - $2,096	55%
Humana	$99 - $911	55%
Medicaid / KanCare	$99 - $1,071	55%
Health Choice Contracted [320166]	$490	273%
Tricare	$885	494%
Blue Cross Blue Shield	$911 - $1,714	508%
Cherokee Nation Health Serv Contracted [320066]	$911	508%
Cross Timbers Hospice [20098]	$911	508%
Dept Of Veteran Affairs Contracted [320106]	$911	508%
Elara Caring Aspire Hospice Contracted [320433]	$911	508%
Elara Caring Aspire Hospice [20433]	$911	508%
Halo Hcr Inc Hospice Contracted [320432]	$911	508%
Halo Hcr Inc Hospice [20432]	$911	508%
Independent Health [20197]	$911	508%
Indian Health Service Contracted [320198]	$911	508%
Kindful Hospice Contracted [320434]	$911	508%
Kindful Hospice [20434]	$911	508%
Medical Associates Health [20444]	$911	508%
Medicare (plans)	$911 - $1,785	508%
Mercy Hospice Okc [20252]	$911	508%
Provider Partners Health Plans Contracted [320450]	$911	508%
Qual Choice Contracted [320325]	$911	508%
Tribute Health Plan Mcr Contracted [320338]	$911	508%
UnitedHealthcare	$911 - $2,499	508%
Globalhealth Contracted [320145]	$929	518%
Cigna	$939 - $3,034	524%
Ambetter / Centene	$1,071	598%
Home State Health Plan Contracted [320187]	$1,071	598%
Novasys Contracted [320285]	$1,071	598%
Webtpa Contracted [320417]	$1,499	836%
Community Care Contracted [320080]	$1,597	891%
Medica Contracted [320239]	$1,785	996%
Aither Health Contracted [320449]	$2,142 - $3,034	1195%
Auxiant Contracted [320462]	$2,142 - $3,034	1195%
Federal Medical Center Contracted [320127]	$2,142	1195%
Healthlink Contracted [320179]	$2,142 - $3,034	1195%
Healthscope Contracted [320182]	$2,142	1195%
Mercy Benefit Admin Contracted [320251]	$2,142 - $3,034	1195%
Point C Contracted [320238]	$2,142	1195%
Preferred Health Plan Contracted [320522]	$2,142	1195%
Quik Trip Contracted [320447]	$2,142	1195%
Show-Me Health Administrators Contracted [320483]	$2,142	1195%
United Medical Resources Contracted [320454]	$2,142 - $2,499	1195%
Osma Health Contracted [320292]	$2,499	1395%
United Behavioral Health Contracted [320390]	$2,499	1395%
Benefit Management Contracted [320052]	$2,678 - $3,213	1494%
Globalhealth Contracted [320144]	$2,678	1494%
Healthcare Highways Plus Contracted [320175]	$2,678	1494%
Private Health Care Systems Contracted [320320]	$2,678 - $2,856	1494%
First Health Contracted [320128]	$2,792	1558%
Multiplan Contracted [320270]	$2,856 - $3,213	1594%
Ebms Contracted [320493]	$3,034	1693%
Imagine 360 Contracted [320494]	$3,034	1693%
Preferred Community Choice Contracted [320311]	$3,034	1693%
Reflect Health Contracted [320492]	$3,034	1693%
Yuzu Health Contracted [320521]	$3,034	1693%

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 $2,321.
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 Logan County 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.