CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Carnegie Tri-County Municipal Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,054
Cash Discount Price: $1,054
vs. Medicare Baseline: 5.88x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Carnegie Tri-County Municipal Hospital is $1,054. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,054. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.88x the Medicare baseline. Located in 102 North Broadway, Carnegie, OK.

Cash / Self-Pay

$1,054

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,054

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: $1,054 (588%)

Insurance Median: $1,054 (588%)

Cash: $1,054 (588% of Medicare)

Ins. Median: $1,054 (588% 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 588% of the Medicare baseline (a markup of 488%). 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	$120 - $1,054	67%
Blue Cross Blue Shield	$204 - $1,691	114%
Aetna	$500 - $1,989	279%
Health Choice - All Plans	$547	305%
Global Health Mcr Adv	$1,054	588%
Humana	$1,054 - $1,989	588%
Wellcare Mcr Adv - All Plans	$1,054	588%
Ambetter / Centene	$1,370	765%
Community Care Comm Ip/Op Only - All Plans	$1,591	888%
Preferred Comm Ppo - All Plans	$1,591	888%
Global Health Ip/Op Only - All Other Plans	$1,691	944%
First Health - All Plans	$1,790	999%
Multiplan - All Plans	$1,830	1021%
Soonerselect Mcaid - All Plans	$1,989	1110%

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 $1,054.
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 Carnegie Tri-County 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.