CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Oakleaf Surgical Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $104
  • Cash Discount Price: $1,419
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Oakleaf Surgical Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,419. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 1000 Oakleaf Way, Altoona, WI.
Cash / Self-Pay
$1,419

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $1,419 (1329%)
Insurance Median: $104 (97%)
Cash: $1,419 (1329% of Medicare)
Ins. Median: $104 (97% 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.

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
Blue Cross Blue Shield $104 - $1,748 97%
Dean Health Plan $104 97%
Group Health Cooperative Of Eau Claire $104 97%
Healthpartners $104 97%
Humana $104 97%
Medica $104 97%
Quartz Health Solutions $104 97%
Security Health Plan Of Wi $104 - $876 97%
Ucare Wi $104 97%
UnitedHealthcare $104 97%
Alliance $518 485%

Consumer Guidance & Cost Commentary

Oakleaf Surgical Hospital, located at 1000 Oakleaf Way in Altoona, Wisconsin, provides a CT scan of the head (no contrast) with a cash median price of $1,419. The facility operates as a physician-owned acute care hospital, and while the gross charge listed is $1,577, the median negotiated rate across 11 payers is significantly lower at $104, with the median paid amount settling at $1,268. This service is currently rated against a Medicare benchmark, which stands at $106.81, indicating that the facility's actual billed amounts vary considerably from the federal baseline.

For patients considering payment options, it is important to note that the cash price of $1,419 is notably higher than the median negotiated rate of $104 observed across most commercial payers. Although the cash rate exceeds the typical negotiated ceiling, individuals with high-deductible plans or those who have met their out-of-pocket maximums might find the cash option more predictable if their insurance allows for significant out-of-network costs or if the specific payer contract results in higher allowed amounts. Patients are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final amount owed by offering immediate liquidity incentives. Additionally, since the data reflects a vintage of 2026-06, verifying the current status of the facility's pricing and any state-specific average comparisons with the local county or Wisconsin averages is recommended before scheduling.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Oakleaf Way, Altoona, WI 54720
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals