CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Aurora Lakeland Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,014
  • Cash Discount Price: $1,570
  • vs. Medicare Baseline: 5.66x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Aurora Lakeland Medical Center is $1,014. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,570. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.66x the Medicare baseline. Located in W3985 County Road Nn, Elkhorn, WI.
Cash / Self-Pay
$1,570

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,014

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: $1,570 (876%)
Insurance Median: $1,014 (566%)
Cash: $1,570 (876% of Medicare)
Ins. Median: $1,014 (566% 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 566% of the Medicare baseline (a markup of 466%). 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
Aurora Caregiver $475 265%
UnitedHealthcare $538 - $2,644 300%
Blue Cross Blue Shield $556 - $2,669 310%
Healthpartners $796 - $2,355 444%
Molina Exchange $796 444%
Common Ground $812 453%
Centivo $820 458%
Aetna $836 - $2,594 467%
Health Payment Systems $875 488%
Quartz One $900 502%
Everpointe Elite $983 549%
Quartz Group $1,000 558%
Hs Technology $1,014 566%
Wisconsin Physician Service $1,128 - $1,187 629%
Trilogy $1,170 653%
Cigna $1,700 - $2,656 949%
Health Eos Plus $1,884 1051%
Health Eos $2,512 1402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: W3985 County Road Nn, Elkhorn, WI 53121
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals