CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Aurora Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,014
  • Cash Discount Price: $1,470
  • vs. Medicare Baseline: 9.49x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Aurora Medical Center is $1,014. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,470. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.49x the Medicare baseline. Located in 975 Port Washington Road, Grafton, WI.
Cash / Self-Pay
$1,470

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
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,470 (1376%)
Insurance Median: $1,014 (949%)
Cash: $1,470 (1376% of Medicare)
Ins. Median: $1,014 (949% 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 949% of the Medicare baseline (a markup of 849%). 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 $475 445%
UnitedHealthcare $538 - $2,475 504%
Blue Cross Blue Shield $556 - $2,499 521%
Healthpartners $796 - $2,205 745%
Molina Exchange $796 745%
Common Ground $812 760%
Centivo $820 768%
Aetna $836 - $2,428 783%
Health Payment Systems $875 819%
Quartz One $900 843%
Everpointe Elite $983 920%
Quartz Group $1,000 936%
Hs Technology $1,014 949%
Wisconsin Physician Service $1,128 - $1,187 1056%
Trilogy $1,170 1095%
Cigna $1,700 - $2,487 1592%
Health Eos Plus $1,764 1652%
Health Eos $2,352 2202%

Consumer Guidance & Cost Commentary

If you are paying cash for this CT scan of the head, you should know that the facility's cash rate of $1,470 is significantly higher than the state average for this procedure. While cash payments can sometimes be cheaper for patients with high-deductible plans if their insurance negotiated rate exceeds the cash price, in this specific case, the negotiated rates range from $475 to $2,499 depending on the insurance carrier, meaning many insured patients may pay less than the cash price. It is crucial to check with the hospital directly for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the total cost by bypassing the costly claims processing cycle that inflates insurance billing.

The broader rate context shows that while the cash rate of $1,470 is notable, the facility's gross charge is $2,940, and the median negotiated rate across the 18 payers is $1,014, with the median paid amount being $1,004. To ensure you are not overcharged, you should request a full itemized CPT-coded bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, if you receive a bill for services rendered by out-of-network providers at this in-network facility, the No Surprises Act protects you from balance billing for emergency and non-emergency care, so you should dispute any unexpected charges immediately rather than paying them out of fear of credit damage.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 Port Washington Road, Grafton, WI 53024
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals