CMS Price Transparency Data

CT scan, head (no contrast)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,310
  • Cash Discount Price: $1,328
  • vs. Medicare Baseline: 12.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at University of Wi Hospitals & Clinics Authority is $1,310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,328. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.26x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$1,328

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,310

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,328 (1243%)
Insurance Median: $1,310 (1226%)
Cash: $1,328 (1243% of Medicare)
Ins. Median: $1,310 (1226% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1226% of the Medicare baseline (a markup of 1126%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $107 - $1,775 100%
Blue Cross Blue Shield $107 - $2,102 100%
Humana $107 100%
Medicare (plans) $107 - $109 100%
UnitedHealthcare $107 - $1,385 100%
Alliance_Premier_Network $1,057 990%
Mercycare $1,098 1028%
Triology $1,129 - $1,350 1057%
Security_Health_Plan $1,195 - $1,405 1119%
Employer'S_Coalition_On_Health $1,217 - $1,704 1139%
Alliance $1,245 1166%
Hfn $1,261 - $1,704 1181%
United_Healthcare $1,268 - $1,879 1187%
Beloit_Health_System $1,284 1202%
Aspirus_Health_Plan $1,292 1210%
Cigna $1,328 1243%
Health_Partners_Insurance $1,350 1264%
Health_Payment_Systems $1,356 1270%
Dean_Health_Plan $1,416 1326%
Medical_Associates $1,461 1368%
Wps $1,534 - $1,689 1436%
Employers_Healthcare_Coalition_Of_Wi $1,549 1450%
Aspirus_Network_Inc $1,704 1595%
Chorus_Community $1,770 1657%
Ghc_Eau_Claire_Health_Plan $1,770 1657%
Multiplan $1,770 - $2,036 1657%
Sheybogan_Employers_Health_Network $1,770 1657%
Coventry $1,881 1761%
Dean_Care $1,881 1761%
Healthsmart $1,947 1823%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals