CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Seiling Municipal Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,861
Cash Discount Price: $977
vs. Medicare Baseline: 10.39x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Seiling Municipal Hospital is $1,861. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $977. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.39x the Medicare baseline. Located in 809 Ne Highway 60, Seiling, OK.

Cash / Self-Pay

$977

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,861

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: $977 (545%)

Insurance Median: $1,861 (1039%)

Cash: $977 (545% of Medicare)

Ins. Median: $1,861 (1039% 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 1039% of the Medicare baseline (a markup of 939%). 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
UnitedHealthcare	$77 - $977	43%
Healthchoice Ip/Op Only - All Plans	$547	305%
Aetna	$977 - $2,271	545%
Blue Cross Blue Shield	$977 - $1,930	545%
Wellcare Mcr Adv - All Plans	$977	545%
Humana	$986 - $2,271	550%
Coventry Comm - All Plans	$1,476	824%
Cigna	$1,799	1004%
Multiplan Ip/Op Only - All Plans	$1,817	1014%
Ambetter / Centene	$1,904	1063%
Community Choice Ppo Ip/Op Only - All Plans	$1,930	1077%
Preferred Comm Ip/Op Only - All Plans	$1,930	1077%
Soonerselect Mcaid - All Plans	$2,271	1267%

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 $977.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Seiling Municipal Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.