CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Alliancehealth Madill

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $969
  • Cash Discount Price: $1,593
  • vs. Medicare Baseline: 5.41x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Alliancehealth Madill is $969. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,593. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.41x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$1,593

Average discount available for prompt cash payment at this facility.

Insurance Median
$969

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: $1,593 (889%)
Insurance Median: $969 (541%)
Cash: $1,593 (889% of Medicare)
Ins. Median: $969 (541% 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 541% of the Medicare baseline (a markup of 441%). 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 $126 - $3,641 70%
Humana $126 - $941 70%
Medicaid / KanCare $126 70%
Node Us Dept Of Labor $234 131%
Blue Cross Blue Shield $246 - $969 137%
Ok Work Comp $306 171%
Healthchoice $490 273%
Preferred Community Choice Ppo $683 381%
Medicare (plans) $941 525%
Node Global Health Mcr Adv $941 525%
UnitedHealthcare $941 - $1,508 525%
Node Indian Health Service Managed Care $956 533%
Node Va $956 - $2,199 533%
Node Champva $984 549%
Tricare $984 549%
Self Pay $1,593 889%
Coventry $2,276 1270%
Globalhealth $2,822 1575%
Healthcare Highways $2,845 1588%
Phcs $3,186 1778%
Multiplan $3,414 - $3,550 1905%
First Health $3,732 2083%
Cigna $3,869 2159%
Evolutions Healthcare Systems $3,869 2159%

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