CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Sanford Hospital Webster - Cah

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,271
Cash Discount Price: $2,447
vs. Medicare Baseline: 12.67x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Sanford Hospital Webster - Cah is $2,271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,447. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.67x the Medicare baseline. Located in 1401 W First St Post Office Box 489, Webster, SD.

Cash / Self-Pay

$2,447

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,271

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: $2,447 (1366%)

Insurance Median: $2,271 (1267%)

Cash: $2,447 (1366% of Medicare)

Ins. Median: $2,271 (1267% 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 1267% of the Medicare baseline (a markup of 1167%). 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
Sanford Health Plan Align	$961	536%
Ucare	$1,031 - $2,688	575%
Wellmark Sd	$1,031	575%
Aetna	$1,040 - $2,658	580%
Health Partners	$1,040 - $2,294	580%
Medicare (plans)	$1,040	580%
UnitedHealthcare	$1,040 - $2,554	580%
Primewest	$1,060	592%
Sanford Health Plan	$1,676 - $2,248	935%
Security Health Plan	$1,682	939%
Medica	$2,524 - $2,698	1408%
Wellmark	$2,631 - $2,661	1468%
First Choice Health Network	$2,753	1536%
Healthez	$2,753	1536%
Multiplan	$2,753	1536%

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 $2,447.
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 Sanford Hospital Webster - Cah 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.