CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Beloit Health System

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,782
Cash Discount Price: $927
vs. Medicare Baseline: 9.94x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Beloit Health System is $1,782. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $927. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.94x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$927

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,782

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: $927 (517%)

Insurance Median: $1,782 (994%)

Cash: $927 (517% of Medicare)

Ins. Median: $1,782 (994% 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 994% of the Medicare baseline (a markup of 894%). 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	$95 - $3,080	53%
Blue Cross Blue Shield	$95 - $3,333	53%
Dean Health	$95 - $1,814	53%
Independent Care Health Plan	$95 - $185	53%
Quartz	$95 - $2,107	53%
UnitedHealthcare	$95 - $2,148	53%
Naphcare	$143 - $1,945	80%
Cook Children'S Health Plan (Cchp)	$185 - $1,621	103%
Humana	$185 - $2,431	103%
Managed Health Services	$185	103%
Molina Healthcare	$185	103%
Wellcare	$185	103%
The Alliance	$362 - $738	202%
Wps	$477 - $2,401	266%
Wea Trust	$1,750 - $1,783	977%
Multiplan	$2,546 - $2,593	1421%
Health Eos	$2,832 - $2,950	1580%
Cigna	$2,928 - $3,080	1634%
Hfn	$2,928 - $3,080	1634%
Preferred Network Access	$2,928 - $3,080	1634%

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 $927.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Beloit Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.