CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Alliancehealth Madill

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,037
  • Cash Discount Price: $1,705
  • vs. Medicare Baseline: 5.79x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Alliancehealth Madill is $1,037. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,705. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.79x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$1,705

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,037

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: $1,705 (951%)
Insurance Median: $1,037 (579%)
Cash: $1,705 (951% of Medicare)
Ins. Median: $1,037 (579% 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 579% of the Medicare baseline (a markup of 479%). 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 $146 - $3,896 81%
Humana $146 - $1,006 81%
Medicaid / KanCare $146 81%
Blue Cross Blue Shield $246 - $1,037 137%
Node Us Dept Of Labor $274 153%
Ok Work Comp $306 171%
Healthchoice $490 273%
Preferred Community Choice Ppo $730 407%
Medicare (plans) $1,006 561%
Node Global Health Mcr Adv $1,006 561%
UnitedHealthcare $1,006 - $1,508 561%
Node Indian Health Service Managed Care $1,023 571%
Node Va $1,023 - $2,352 571%
Node Champva $1,053 588%
Tricare $1,053 588%
Self Pay $1,704 951%
Coventry $2,435 1359%
Globalhealth $3,019 1685%
Healthcare Highways $3,044 1699%
Phcs $3,409 1902%
Multiplan $3,652 - $3,799 2038%
First Health $3,993 2228%
Cigna $4,140 2310%
Evolutions Healthcare Systems $4,140 2310%

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