CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Nicholas Hospital

Billing Code: 70460 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$255
about 1.4× the $179 Medicare rate · typically $175–$475
modeled estimate · not a bill or quote
What this hospital charges insurers
$280
About the fair price
about $25 over the fair price · 1.6× Medicare
Medicare pays $179 Fair price $255 This hospital $280 Cash price $1,770 Hospital's list price $2,682

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $280

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (with contrast) is about $255 (about 1.4× the $179 Medicare rate). St Nicholas Hospital charges insurers about $280, or about $1,770 in cash — about the fair price. Located in Sheboygan, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $172 - $1,248 96%
Blue Cross Blue Shieldmajor $130 - $1,358 73%
Aetnamajor $172 - $2,682 96%
Cignamajor $1,877 1047%
Humanamajor $172 - $2,280 96%
Health Net $1,123 - $1,215 627%
Medica $172 96%
Meridian $130 - $134 73%
Molina $138 - $1,341 77%
Security Health Plan $173 - $1,712 97%
+ 15 smaller / regional plans $130 - $2,682
Government programs also on file: Medicare, Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3100 Superior Ave, Sheboygan, WI 53081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals