CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 70470 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$727
about 4.1× the $179 Medicare rate · typically $159–$1,906
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,883
Well above the fair price
about $1,156 over the fair price · 10.5× Medicare
Medicare pays $179 Fair price $727 This hospital $1,883 Cash price $1,221 Hospital's list price $2,101

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $57 Priciest $1,883

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (with and without contrast) is about $727 (about 4.1× the $179 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $1,883, or about $1,221 in cash — well above the fair price. Located in Hillsboro, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $727. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,114 - $1,469 622%
Blue Cross Blue Shieldmajor $851 - $2,313 475%
Aetnamajor $1,996 1114%
Cignamajor $1,723 961%
Humanamajor $1,786 997%
Amerigroup $138 77%
Quartz $1,145 639%
Security Health Plan $412 230%
UCare $1,093 - $1,681 610%
+ 4 smaller / regional plans $851 - $3,091
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals