CMS Price Transparency Data

CT scan, head (with contrast)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,639
  • Cash Discount Price: $1,690
  • vs. Medicare Baseline: 9.15x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at University of Wi Hospitals & Clinics Authority is $1,639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,690. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.15x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$1,690

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,639

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: $1,690 (943%)
Insurance Median: $1,639 (915%)
Cash: $1,690 (943% of Medicare)
Ins. Median: $1,639 (915% 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 915% of the Medicare baseline (a markup of 815%). 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 $179 - $2,258 100%
Blue Cross Blue Shield $179 - $2,675 100%
Humana $179 100%
Medicare (plans) $179 - $183 100%
UnitedHealthcare $179 - $1,763 100%
Alliance_Premier_Network $1,345 751%
Mercycare $1,397 780%
Triology $1,436 - $1,718 801%
Security_Health_Plan $1,521 - $1,788 849%
Employer'S_Coalition_On_Health $1,549 - $2,168 864%
Alliance $1,584 884%
Hfn $1,605 - $2,168 896%
United_Healthcare $1,614 - $2,391 901%
Beloit_Health_System $1,633 911%
Aspirus_Health_Plan $1,645 918%
Cigna $1,690 943%
Health_Partners_Insurance $1,718 959%
Health_Payment_Systems $1,726 963%
Dean_Health_Plan $1,802 1006%
Medical_Associates $1,859 1037%
Wps $1,951 - $2,149 1089%
Employers_Healthcare_Coalition_Of_Wi $1,971 1100%
Aspirus_Network_Inc $2,168 1210%
Chorus_Community $2,253 1257%
Ghc_Eau_Claire_Health_Plan $2,253 1257%
Multiplan $2,253 - $2,591 1257%
Sheybogan_Employers_Health_Network $2,253 1257%
Coventry $2,394 1336%
Dean_Care $2,394 1336%
Healthsmart $2,478 1383%

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