CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Alliancehealth Madill

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $927
  • Cash Discount Price: $1,524
  • vs. Medicare Baseline: 8.68x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Alliancehealth Madill is $927. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,524. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.68x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$1,524

Average discount available for prompt cash payment at this facility.

Insurance Median
$927

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,524 (1427%)
Insurance Median: $927 (868%)
Cash: $1,524 (1427% of Medicare)
Ins. Median: $927 (868% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 868% of the Medicare baseline (a markup of 768%). 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 $90 - $3,483 84%
Humana $90 - $900 84%
Medicaid / KanCare $90 84%
Node Us Dept Of Labor $168 157%
Ok Work Comp $183 171%
Blue Cross Blue Shield $246 - $927 230%
Healthchoice $292 273%
Preferred Community Choice Ppo $653 611%
Medicare (plans) $900 843%
Node Global Health Mcr Adv $900 843%
UnitedHealthcare $900 - $1,508 843%
Node Indian Health Service Managed Care $914 856%
Node Va $914 - $2,103 856%
Node Champva $942 882%
Tricare $942 882%
Self Pay $1,524 1427%
Coventry $2,177 2038%
Globalhealth $2,699 2527%
Healthcare Highways $2,722 2548%
Phcs $3,048 2854%
Multiplan $3,266 - $3,396 3058%
First Health $3,570 3342%
Cigna $3,701 3465%
Evolutions Healthcare Systems $3,701 3465%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals