CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Bellin Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $511
Cash Discount Price: $471
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Bellin Memorial Hospital is $511. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $471. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.85x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$471

Average discount available for prompt cash payment at this facility.

Insurance Median

$511

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: $471 (263%)

Insurance Median: $511 (285%)

Cash: $471 (263% of Medicare)

Ins. Median: $511 (285% 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 285% of the Medicare baseline (a markup of 185%). 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
Aetna	$168 - $187	94%
Community Care	$168 - $407	94%
Humana	$168 - $407	94%
My Choice	$168 - $187	94%
Network Health	$169 - $1,628	94%
UnitedHealthcare	$175 - $1,043	98%
Blue Cross Blue Shield	$187 - $645	104%
Common Ground	$435	243%
Chorus Community Health Plan	$466	260%
Aspirus Arise	$500 - $523	279%
Cigna	$511 - $517	285%
Wps Insurance	$529 - $616	295%
Hps/Paymedix	$536 - $580	299%
Trilogy	$551	307%
Healthsmart	$580	324%
Ihs(Claimsbridge)	$580	324%
Medical College Of Wi	$580	324%
Multiplan	$580	324%
Allied National	$616	344%
First Health	$616	344%
Galaxy Health	$616	344%
Three Rivers Provider Network	$652	364%

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 $471.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bellin Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.