CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,003
Cash Discount Price: $2,065
vs. Medicare Baseline: 11.18x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at University of Wi Hospitals & Clinics Authority is $2,003. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,065. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.18x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.

Cash / Self-Pay

$2,065

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,003

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: $2,065 (1152%)

Insurance Median: $2,003 (1118%)

Cash: $2,065 (1152% of Medicare)

Ins. Median: $2,003 (1118% 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 1118% of the Medicare baseline (a markup of 1018%). 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	$179 - $2,760	100%
Blue Cross Blue Shield	$179 - $3,270	100%
Humana	$179	100%
Medicare (plans)	$179 - $183	100%
UnitedHealthcare	$179 - $2,155	100%
Alliance_Premier_Network	$1,644	917%
Mercycare	$1,707	953%
Triology	$1,755 - $2,100	979%
Security_Health_Plan	$1,859 - $2,186	1037%
Employer'S_Coalition_On_Health	$1,893 - $2,650	1056%
Alliance	$1,936	1080%
Hfn	$1,962 - $2,650	1095%
United_Healthcare	$1,972 - $2,922	1100%
Beloit_Health_System	$1,996	1114%
Aspirus_Health_Plan	$2,010	1122%
Cigna	$2,065	1152%
Health_Partners_Insurance	$2,100	1172%
Health_Payment_Systems	$2,110	1177%
Dean_Health_Plan	$2,203	1229%
Medical_Associates	$2,272	1268%
Wps	$2,385 - $2,626	1331%
Employers_Healthcare_Coalition_Of_Wi	$2,409	1344%
Aspirus_Network_Inc	$2,650	1479%
Chorus_Community	$2,754	1537%
Ghc_Eau_Claire_Health_Plan	$2,754	1537%
Multiplan	$2,754 - $3,167	1537%
Sheybogan_Employers_Health_Network	$2,754	1537%
Coventry	$2,926	1633%
Dean_Care	$2,926	1633%
Healthsmart	$3,029	1690%

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 $2,065.
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 University of Wi Hospitals & Clinics Authority 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.