CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Community Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,670
Cash Discount Price: $1,330
vs. Medicare Baseline: 15.64x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Community Memorial Hospital is $1,670. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,330. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.64x the Medicare baseline. Located in W180 N8085 Town Hall Rd, Menomonee Falls, WI.

Cash / Self-Pay

$1,330

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,670

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: $1,330 (1245%)

Insurance Median: $1,670 (1564%)

Cash: $1,330 (1245% of Medicare)

Ins. Median: $1,670 (1564% 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 1564% of the Medicare baseline (a markup of 1464%). 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
Allwell	$103	96%
Blue Cross Blue Shield	$103 - $2,055	96%
Community Care	$103	96%
Health Partners	$103 - $1,572	96%
Humana	$103	96%
Icare	$103	96%
Network Health Plan	$103 - $1,033	96%
Security Health Plan	$103	96%
UnitedHealthcare	$103 - $1,565	96%
Aetna	$105 - $1,693	98%
Care Wisconsin/Mychoice	$106	99%
Centivo	$725 - $798	679%
Froedtert South	$1,016	951%
Chorus Community Health Plan	$1,040	974%
Common Ground	$1,451	1358%
Trilogy	$1,668	1562%
Sheboygan Employers Health Network	$1,671	1564%
Health Payment Systems	$1,682	1575%
Wisconsin Physician Services	$1,693	1585%
Aspirus	$1,934	1811%
Ibsi Passport	$1,959	1834%
Americas Choice	$2,104	1970%
Federated Mutual	$2,104	1970%
Healtheos	$2,104	1970%
Multiplan/Private Healthcare Systems	$2,104	1970%
Savility	$2,104	1970%
Cigna	$2,128	1992%
First Health Network	$2,128	1992%
Healthsmart	$2,176	2037%
Physicians Plus	$2,176	2037%

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 $1,330.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Community Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.